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Re: Gyn: purulent vag discharge From: Joanne Bulley, MD (islesannie@yahoo.com) Mon Sep 25 20:47:56 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Meenan, Anna: "Re: "no-fault"" Previous message: Efrain Ramirez: "Re: 'no-fault'" In reply to: Joe: "Re: Gyn: purulent vag discharge" All great thoughts - I was not thinking outside th box -- I was just focusing on the vagina as the cervix really seems clean - no discharge coming from it. This is definitely not serous - it is purulent - creamy pale color - not really white but not yellow either. She will get the sonogram and we woll go from there. Thanks. I was getting tunnel vision. Joanne At Mon, 25 Sep 2006, Joe wrote: > >Sono of ovaries. Saw 2 cases ovarian ca with serous discharge as only >symptom. Joe C > >Joanne Bulley, MD wrote: >> Any help here is welcome. Remind me what I might be missing. >> >> 40 yo G3P2012 >> Endometrial ablation 4/2003 amenorrheic since then >> >> Several months complaint of copioous vaginal discharge. >> >> Wet prep -- 4+ WBCs but negative for clue cells, pH normal, no trich and >> no candida. >> >> Observed for spontaneous resolution. >> >> Return visit for same 1 month later. Wet prep same: many / sheets of >> WBCs otherwise negative. Culture: mixed urogenital flora. >> >> No other symptoms: no pain, burning, no vulvar complaints, ne sexual >> function issues. Cervix is clean and non tender. >> >> This time I am treating with clindamycin vaginal cream X 2 weeks, no >> vaginal Rx for 1 week then re-exam. Probably with other cultures at >> that time. >> >> Lichen Planus of vuvlo-vaginal-gingival syndrome should have other >> symptoms. >> >> No suspicion of Chron's or other colitis. >> >> Usually I can find what is wrong - but this is one of those conundrums. >> >> Thanks. >> >> -- >> Joanne Bulley, MD >> Keene, NH, USA >> -- Joanne Bulley, MD Keene, NH, USA Next message: Meenan, Anna: "Re: "no-fault"" Previous message: Efrain Ramirez: "Re: 'no-fault'" In reply to: Joe: "Re: Gyn: purulent vag discharge"

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