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Foul-smelling discharge ("fishy"); clue cells.
Bacterial vaginosis
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Foul smell, erythema; used a new soap
allergic vaginitis
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Dryness, dyspareunia; peri- or postmenopausal.
Atrophic Vaginitis
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Puritic white, curdy discharge; labial itching including thighs, erythema of perineum & thighs.
Candida vulvovaginitis (albicans)
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Constant & dull lower abdominal pain or cramping, cervical motion tenderness.
Salpingitis
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Difficulty w/ BMs, low back pain.
uterine prolapse
-
Sudden, severe lower abdominal pain; lower back pain, pain in shoulder area.
Ectopic pregnancy
-
Painful lesions, burning or pain w/ urination.
genital herpes
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Viral infection of the skin; STI in adults but can occur in children as a non-STI.
Molloscum Contagiosum
-
Asymptomatic or s/s of PID, Skene/Bartholin gland inflammation, purulent discharge from cervix.
Gonnorhea
-
Asymptomatic; maybe some spotting after sex, purulent discharge, cervix MAY be red or friable.
Chlamydia
-
Pain with urination & sex; pain in RUQ.
PID
-
Unilateral serous or bloody nipple discharge.
Intraductal papilloma (benign)
-
Unilateral OR bilateral green or brown sticky nipple discharge
Duct Ectasia (benign)
-
Bilateral spontaneous milky discharge.
Galactorrhea
-
Crustiness of nipple, areola, and surrounding skin; pruritis of nipple; looks like eczema but does not respond to steroids.
Paget Disease
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Soft painless wartlike lesions on penis.
Condyloma Acuminata (caused by HPV)
-
Painful lesions on penis & perineum; burning or pain with urination.
Genital Herpes
-
Painless lesions on penis; viral infection
Molloscum Contagiosum
-
Acute onset of scrotal pain, n/v; no fever.
testicular torsion
-
Acute onset of testicular pain and swelling; fatigue, fever, enlarged, tender testis, edema and red scrotum. (secondary to mumps; unilateral)
Orchitis
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