INFECTIVE CAUSES OF URETHRAL DISCHARGE. INFECTION ORGANISM DISCHARGE TREATMENT Gonorrhoea Purulent. Ciprofloxacin 500mg
(Gram –ve, intracellular, +/- dysuria, epididymal
Chlamydia Altered. Doxycycline 100mg bd Or: Azithromycin 1g Trichomonas Thin/ white. Metronidazole 400mg vaginalis bd PO 5-7/7. Non-Specific Doxycycline 100mg bd Urethritis Non infective causes of urethral discharge include: Non infective causes of vaginal discharge include: - Trauma (physical or chemical) - Physiological (normal discharge = white | yellow when oxidised) Malignancy Malignancy (tampon, condom) or allergy (eg. to soap). Physiological Discharge. Normal vaginal discharge is acidic due to the production of lactic acid by the lactobacilli. 95% of the bacteria present in vaginal discharge are lactobacilli. When normal, white, vaginal discharge is oxidised in air it turns yellow. The amount of normal discharge can increase during the middle of the menstrual cycle, and on commencement of the COCP. History. Determine the nature of discharge:
- timing of onset - colour - odour - irritation - presence of blood
PMH / Sexual hx / Drug history (? Recent antibiotics). Examination General Inspect using speculum Abdo/ Bimanual Notes provided by Layla Heidarinia, Medical Student at Liverpool.
These notes were written by Layla Heidarinia in 2007. They are presented in good faith and every effort has been taken to ensure their accuracy. Nevertheless, medical
practice changes over time and it is always important to check the information with your clinical teachers and with other reliable sources. Disclaimer: no responsibility can be
taken by either the author or publisher for any loss, damage or injury occasioned to any person acting or refraining from action as a result of this information.
Please give feedback on this document and report any inaccuracies to: [email protected]
28 year old male Major depression, recurrent, moderate and ADHD Two year history of constant depressive symptoms including: o depressed mood o fatigue o difficulty concentrating o poor appetite o weight loss o anxiety o insomnia o anhedonia o low self-esteem o thoughts of suicide Medications of Trazodone and Strattera Course of 20 treatments over 4 weeks 6 taper tre
En föräldramanual om läxläsning Institutionen för didaktik, Uppsala universitet Denna manual riktar sig till föräldrar som vill ha hjälp med att få sina barn att göra läxorna utan ständiga påminnelser och tjat. Barn har goda skäl. En del barn gör läxan med stor glädje. Andra barn vill hellre göra något annat. Grundprincipen för läxläsning är att man som föräl