Final answer:
Symptoms of pathologic vaginal discharge include changes in discharge (color, consistency, odor), itching, burning, pain, and may indicate infections such as vaginitis or sexually transmitted infections (STIs). Diagnosis involves patient history and analysis of discharge, with treatment based on the specific cause.
Step-by-step explanation:
Symptoms of Pathologic Vaginal Discharge
The symptoms of pathologic vaginal discharge can vary depending on the cause. Vaginitis is often indicated by changes in vaginal discharge, which may include alterations in color, consistency, and smell. For instance, a cottage cheese-like discharge is often associated with Candida albicans infection, which usually has a low pH and may also come with itching and discomfort. In contrast, a discharge that has a fish-like odor could be indicative of an infection with Gardnerella vaginalis, known for having a high pH.
Other common symptoms may include itching, burning, and pain, as well as potential urethritis or dysuria (painful urination). In more severe cases, symptoms such as pelvic pain, intermenstrual bleeding, or unusual bleeding might be present. Some infections, like gonorrhea and chlamydia, can be asymptomatic but may still cause damage to the reproductive system if left untreated.
Diagnosis of pathologic vaginal discharge is typically clinical, starting with a thorough patient history followed by a physical examination, microscopic examination, and sometimes culture of the discharge. Treatment will depend on the identified causative agent and may include oral or topical anti-fungal or antibiotic medications.
In summary, symptoms of pathologic vaginal discharge may include changes in discharge characteristics, itching, burning, pain, and could signify infections such as vaginitis or STIs. A diagnostic workup includes a patient's history and microscopic analysis or culture of the discharge, leading to targeted treatment.