Leukorrhea

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Leukorrhea

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Leukorrhea

  1. 1. LEUKORRHEA
  2. 2. DEFINITION Leucorrhea Genital discharge, not blood
  3. 3. Leucorrhea STDNon-STD Non-infection Infection -Tumor(benign-malignance) -Trauma / Ulceration - Foreign body (tampon-IUD-toilet paper-diaphragm) - Atrophic vaginitis (postmenopause-total hysterectomy) - Allergy จากน้ายาสวนล้างช่องคลอด -Cervical ectropion - Candidiasis - Bacterial Vaginosis - etc. -Non-Gonococcal urethritis -Gonococcal urethritis (Neisseiria gonorrhea) -Herpes - Condyloma acuminata - Trichomoniasis Normal physiologyAbnormal
  4. 4. QUIZ ??
  5. 5. NORMAL OR ABNORMAL ? Normal cervix
  6. 6. IUD
  7. 7. Bacterial vaginosis
  8. 8. Tricomoniasis
  9. 9. Ectropion, Erosion or Eversion
  10. 10. ATROPHIC VULVOVAGINITIS
  11. 11. Candidiasis
  12. 12. Endometrium polyp
  13. 13. FOREIGN BODY, VAGINA
  14. 14. Tricomoniasis
  15. 15. Cervical cancer
  16. 16. Candidiasis
  17. 17. Ulcer
  18. 18. Tricomoniasis
  19. 19. A normal Pap Smear
  20. 20. Atrophic vaginitis (Parabasal cell)
  21. 21. Bacterial vaginosis
  22. 22. Candida albicans
  23. 23. Herpes
  24. 24. Doderlein bacilli
  25. 25. Gonococcal cervicitis
  26. 26. Bacteria vaginosis
  27. 27. Vulvovaginal candidiasis
  28. 28. Coliform infection
  29. 29. HSV Cervicitis
  30. 30. CA cervix
  31. 31. HPV
  32. 32. Vulvovaginal candidiasis
  33. 33. Herpes
  34. 34. Non-gonococcal cervicitis
  35. 35. Normal
  36. 36. Tricomoniasis
  37. 37. Non-gonococcal cervicitis
  38. 38. Candidiasis
  39. 39. Herpes
  40. 40. Atrophic vaginitis
  41. 41. Vulvovaginal candidiasis
  42. 42. Condyloma acuminata
  43. 43. Bacterial vaginosis
  44. 44. Normal
  45. 45. Trichomonas vaginalis (wet smear)
  46. 46. Chancroid (Hemophilus ducreyi)
  47. 47. CA cervix
  48. 48. Bacterial vaginosis
  49. 49. Mucopurulent discharge
  50. 50. Postmenopausal cervix
  51. 51. Normal vaginal organism gram positive bacilli (lactobacilli)
  52. 52. HPV
  53. 53. Bacterial vaginosis
  54. 54. ATROPHIC VAGINITIS
  55. 55. Normal wet smear
  56. 56. Non-gonococcal cervicitis
  57. 57. Ectropian cervix
  58. 58. Vulva cancer
  59. 59. Tricomoniasis
  60. 60. Normal cervix in proliferative phase
  61. 61. INTRAUTERINE CONTRACEPTIVE DEVICE
  62. 62. Bacterial vaginosis
  63. 63. Cervical polyp
  64. 64. Atrophic vagina
  65. 65. Normal cervix & normal vagina
  66. 66. Diagnosis Trichomoniasi s Candidiasis Bacterial vaginosis Gonococcal Non gonococcal Physiologic Urethral discharge - - - mucopurulent mucopurulent - Vaginal discharge Yellowish homogenious White flecks, adherent plaques Greyish homogenious - - white or transparent Cervical discharge clear clear clear mucopurulent mucopurulent clear pH >5 <4.5 >5 <4.5 <4.5 <4.5 Whiff test + - + - - - Microscopy Lactobacilli x present x present present present WBC present present x present present present Trichomonas Present x x x x x Mycelia x Present x x x x Clue cell x x Present x x x Intracellular G(-) diplococci x x x Present x x
  67. 67. LEUKORRHEA

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