Vaginal foreign body - Revision history

Rossdonaldson1 at 20:08, 3 August 2022

2022-08-03T20:08:27Z

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	==Background==		==Background==
	[[File:Vulva Figure 28 02 02.jpg\|thumb\|Labeled vulva, showing external and internal views.]]		[[File:Vulva Figure 28 02 02.jpg\|thumb\|Labeled vulva, showing external and internal views.]]
			[[File:Blausen 0400 FemaleReproSystem 02b.png\|thumb\|Pelvic anatomy including organs of the female reproductive system.]]
	*Patients may be reluctant to provide history due to fear or embarrassment		*Patients may be reluctant to provide history due to fear or embarrassment
	*Foreign bodies most commonly found to be:		*Foreign bodies most commonly found to be:

Rossdonaldson1: /* Background */

2022-08-03T19:55:18Z

Background

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	==Background==		==Background==
			[[File:Vulva Figure 28 02 02.jpg\|thumb\|Labeled vulva, showing external and internal views.]]
	*Patients may be reluctant to provide history due to fear or embarrassment		*Patients may be reluctant to provide history due to fear or embarrassment
	*Foreign bodies most commonly found to be:		*Foreign bodies most commonly found to be:

Elcatracho: /* See Also */

2021-02-15T00:56:05Z

Elcatracho: /* Management */

2021-02-15T00:54:00Z

Management

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	==Management==		==Management==
	*Remove object, either manually or with saline irrigation		*Remove object, either manually or with saline irrigation
			*Antibiotics typically unnecessary

	==Disposition==		==Disposition==

Elcatracho: /* Disposition */

2021-02-15T00:53:24Z

Disposition

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	==Disposition==		==Disposition==
			*Discharge

	==See Also==		==See Also==

ClaireLewis at 18:43, 4 October 2019

2019-10-04T18:43:03Z

← Revisión anterior		Revisión del 18:43 4 oct 2019
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	==Clinical Features==		==Clinical Features==
	*Vaginal discharge, chronic		*[[Vaginal discharge]], chronic
	**Often malodorous		**Often malodorous
	**Consider foreign body in all prepubertal patients with discharge, especially if bloody or brown		**Consider foreign body in all prepubertal patients with discharge, especially if bloody or brown
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	*Infection		*Infection
	**[[Bacterial Vaginosis]], [[Trichomonas]], [[chlamydia]]/[[gonorrhea]] infection, [[Candida Vaginitis]]		**[[Bacterial Vaginosis]], [[Trichomonas]], [[chlamydia]]/[[gonorrhea]] infection, [[Candida Vaginitis]]
	**Endometritis, [[PID]], [[TOA]]		**[[Endometritis]], [[PID]], [[TOA]]
	*Ob/gyn conditions		*Ob/gyn conditions
	**[[Ectopic pregnancy]], abortion (threatened, incomplete, or septic)		**[[Ectopic pregnancy]], [[spontaneous abortion\|abortion]] (threatened, incomplete, or [[septic abortion\|septic]])
	**Pelvic thrombophlebitis		**Pelvic [[thrombophlebitis]]
	**[[Ovarian torsion]], ovarian cyst hemorrhage/rupture		**[[Ovarian torsion]], [[ovarian cyst]] hemorrhage/rupture
	**Dysmenorrhea, [[endometriosis]]		**Dysmenorrhea, [[endometriosis]]
	*Genitourinary		*Genitourinary
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	*Children <7yo or uncooperative patients may require vaginoscopy in the OR with anesthesia		*Children <7yo or uncooperative patients may require vaginoscopy in the OR with anesthesia
	*Plain films sometimes help identify radiopaque objects		*Plain films sometimes help identify radiopaque objects
	*Some items may be identifiable on ultrasound or MRI		*Some items may be identifiable on [[ultrasound]] or [[MRI]]

	==Management==		==Management==

ClaireLewis: Created page with "==Background== Patients may be reluctant to provide history due to fear or embarrassment Foreign bodies most commonly found to be: Retained tampon Sex toys or other ite..."

2016-11-09T21:50:13Z

Created page with "==Background== *Patients may be reluctant to provide history due to fear or embarrassment *Foreign bodies most commonly found to be: **Retained tampon **Sex toys or other ite..."

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==Background==
*Patients may be reluctant to provide history due to fear or embarrassment
*Foreign bodies most commonly found to be:
**Retained tampon
**Sex toys or other items used for sexual stimulation
**Packets of drugs
**Toilet paper
**Pieces of cloth or small toys (in young girls)

==Clinical Features==
*Vaginal discharge, chronic
**Often malodorous
**Consider foreign body in all prepubertal patients with discharge, especially if bloody or brown
*[[Vaginal bleeding]]
*[[Vulvovaginitis]]
*[[Pelvic pain]]

==Differential Diagnosis==
*Infection
**[[Bacterial Vaginosis]], [[Trichomonas]], [[chlamydia]]/[[gonorrhea]] infection, [[Candida Vaginitis]]
**Endometritis, [[PID]], [[TOA]]
*Ob/gyn conditions
**[[Ectopic pregnancy]], abortion (threatened, incomplete, or septic)
**Pelvic thrombophlebitis
**[[Ovarian torsion]], ovarian cyst hemorrhage/rupture
**Dysmenorrhea, [[endometriosis]]
*Genitourinary
**[[Cystitis]], [[Pyelonephritis]]
**[[Renal colic]]
*Gastrointestinal
**[[Appendicitis]], [[SBO]], [[mesenteric ischemia]], [[hernia]]
**[[Anorectal abscess]]
**[[Diverticulitis]], [[Inflammatory bowel disease]]

==Evaluation==
*Visualization may be aided by irrigation with normal saline
*Children <7yo or uncooperative patients may require vaginoscopy in the OR with anesthesia
*Plain films sometimes help identify radiopaque objects
*Some items may be identifiable on ultrasound or MRI

==Management==
*Remove object, either manually or with saline irrigation

==Disposition==

==See Also==

==External Links==

==References==
<references/>

[[Category:OBGYN]]

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	==See Also==		==See Also==
			*[[Vulvovaginitis]]

	==External Links==		==External Links==