Leucorrhea yellow
Introduction
Introduction The leucorrhea yellow has nothing to do with urinary yellow, and the leucorrhea yellow is a manifestation of abnormal leucorrhea. Abnormal leucorrhea manifests as changes in color, quality, and quantity. Symptoms of purulent leucorrhea, bloody vaginal discharge, watery leucorrhea, and bean dregs-like leucorrhea may occur. These symptoms are signs of gynecological diseases.
Cause
Cause
The leucorrhea yellowing is usually caused by gynecological inflammation, and should be promptly checked to the hospital for timely treatment.
Examine
an examination
Related inspection
Leucorrhea check gynecological routine examination
Physical examination
The examination was performed from the outside to the inside. The vulva, urethra, paraurethral gland and vestibular gland were first examined by visual inspection, and the vaginal wall and cervix were observed by a vaginal speculum.
(1) Vulva inspection
See the identification of vaginitis. The erythema and small collars around the vulva and anus may be candidiasis, and the genital area of patients with trichomoniasis may be trichomoniasis vaginitis or cervicitis often contaminated by a large amount of purulent vaginal discharge. In bacterial vaginosis, only accumulated vaginal discharge is seen at the vaginal opening.
(two) the appearance of vaginal discharge
Various pathological vaginal discharges with different specificities provide diagnostic clues.
1. Physiological leucorrhea is characterized by homogeneity, flocculation, high potency and accumulation in the vagina.
2, bacterial vaginal innocence band is gray, homogeneous, low drum, often evenly attached to the surface of the anterior wall of the vagina or the surface of the membrane, easy to wipe, no significant changes in the vaginal membrane.
3, trichomonas vaginitis vaginal discharge is yellow or even yellow-green, obviously purulent, often foamy.
4, candidiasis leucorrhea is white, highly thick pig, is in the shape of a case or bean curd, attached to the vaginal wall, sometimes similar to white goose-like plaque, may also have little or similar leucorrhea, However, the vaginal wall is leukoplakia.
(C) cervical secretions
The cervix has a clear liquid-like secretion before ovulation, which is thicker in the luteal phase.
1, cervicitis at any stage of the menstrual cycle, the emergence of purulent cervical secretions should consider the possibility of cervicitis, the vaginal discharge outside the cervix should be swabbed during the examination, and the purulent secretion of the endocervix can be diagnosed. For cervicitis. At this time, the columnar upper degree of the cervical canal is erythematous, and the fragility is increased. The swab can often cause bleeding.
2, Chlamydia cervicitis Chlamydia cervicitis when the columnar epithelium often hypertrophy, prominent squamous epithelial plane.
3, malaria toxicity cervicitis often ulcerative or necrotic lesions in the columnar epithelium.
4, gonorrhea cervicitis in the neck of the yellow thickening or liquid plug, overflowing the vagina and cause vaginitis, squeeze the urethra, paraurethral glands or vestibular glands often have purulent overflow.
Diagnosis
Differential diagnosis
It can be differentiated from the leucorrhea in yellow-green.
