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DIFFERENTIAL DIAGNOSIS OF COMMON GYNECOLOGICAL COMPLAINTS Part 01

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VAGINAL DISCHARGE


Physiological

 

  1. normal vaginal discharge (midcycle)
  2. increased estrogen states, e.g. pregnancy, BCP

Infectious

 

  1. candida vulvovaginitis (Candidaalbicans)
  2. trichomonas vaginitis (Trichomonasvaginalis)
  3. bacterial vaginosis (Gardnerella vaginalis)
  4. chlamydia gonorrhea bartholinitis or Bartholin abscess
  5. PID

Neoplastic

 

  1. VAIN -vaginal intraepithelial neoplasia
  2. vaginal squamous cell ca
  3. invasive cervical ca
  4. fallopian tube ca

Other

 

  1. allergic/irritative vaginitis
  2. foreign body
  3. atrophic vaginitis
  4. enterovaginal fistulae


 

VAGINAL/VULVAR PRURITUS

 

Infectious

 

  1. Candidavulvovaginitis
  2. Trichomonasvaginitis
  3. Herpes genitalis (HSV)

Other

 

  1. postmenopausal  vaginitis or atrophic vaginitis
  2. chemical vaginitis
  3. hyperplastic dystrophy
  4. lichen sclerosis
  5. vulvar ca

 


 

GENITAL ULCERATION


Infectious

 

  1. painful
  2. herpes genitalis (HSV)
  3. chancroid (Hemophilisducreyi) painless
  4. syphilis (Treponemapallidum)
  5. granuloma inguinale (Calymmatobacterium granulomatis)
  6. lymphogranuloma venereum (C. trachomatis- serotypes L1-L3)

Malignant

 

  1. vulvar ca


Other

 

  1. trauma
  2. foreign body
  3. Bechet disease (autoimmune disease resulting in oral and genital ulcerations with associated superficial ocular lesions)

 

 

INGUINAL LYMPHADENOPATHY

 

Infectious

 

  1. HSV
  2. syphilis 
  3. chancroid
  4. granuloma inguinale (D. granulomatis)

Malignant

 

  1. vulvar ca
  2. vaginal ca
  3. anal ca
  4. lymphoma
DIFFERENTIAL DIAGNOSIS OF COMMON GYNECOLOGICAL COMPLAINTS Part 01 DIFFERENTIAL DIAGNOSIS OF COMMON GYNECOLOGICAL COMPLAINTS Part 01 Reviewed by Radiology Madeeasy on August 21, 2010 Rating: 5
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