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Vaginitis, Pediatric

Sara M. Buckelew, MD, MPH Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Vaginitis is inflammation or irritation of the vagina causing typical symptoms of vaginal discharge, burning, and itching.

    • May be due to infection such as trichomoniasis, candidiasis,...

DIAGNOSIS

HISTORY

  • For many preadolescent and adolescent girls, vaginal symptoms may be uncomfortable to talk about. Important to meet alone with an adolescent.

  • Symptoms alone cannot distinguish between ...

TREATMENT

GENERAL MEASURES

  • Good hygiene and avoidance/removal of irritants includes hand washing following toileting, encourage wiping from front to back, clean with a mild nonscented soaps or lotions,...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • If symptoms persist following over the counter or other treatment, patients need to be reevaluated by a clinician as may be another etiology.

  • Pat...

ADDITIONAL READING

  • Freeto JP, Jay MS. “What’s really going on down there?” A practical approach to the adolescent who has gynecologic complaints. Pediatr Clin North Am.  2006;53(3):529–545. [View...

CODES

ICD9

  • 616.10 Vaginitis and vulvovaginitis, unspecified

  • 623.5 Leukorrhea, not specified as infective

  • 112.1 Candidiasis of vulva and vagina

  • 131.01 Trichomonal vulvovaginitis

ICD10

  • N76.0 Acute Vaginitis

  • N8...

FAQ

  • Q: How do you diagnose BV?

  • A: BV is a clinical diagnosis based on having three out of four Amsel criteria:

    • Thin, homogenous discharge

    • Vaginal pH >4.5

    • Positive “whiff” test

    • >20% clue cells on wet ...

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