Purulent discharge

Introduction The production of purulent secretions is generally caused by bacterial infection, resulting in local tissue inflammation, pus, forming a certain pustule, while pus flows out of the damaged tissue, forming a certain secretion. Purulent secretions are generally yellow, viscous, and relatively thin, more common in the inflammation of the reproductive system.

Cause

1. Bacterial infection causes damage to local tissues.

2, a variety of sexually transmitted diseases can cause damage to the reproductive system.

3, urethritis, gynecological diseases, etc.

an examination

Related inspection

Blood routine bacteriological test white blood cell differential count

1. Carefully ask about the relevant medical history, collect relevant clinical data, and pay attention to the history of smelting.

2. Closely check the patient to clearly understand the clinical symptoms of the patient.

3, appropriate physical examination of the patient, a preliminary understanding of the morphological changes of the various organs of the patient, paying special attention to the disease of the reproductive system.

4. Perform relevant equipment examinations on the patients, conduct appropriate laboratory tests, and perform blood routine examinations.

5, comprehensive consideration of various inspection results, combined with the clinical symptoms of various organ damage, and finally draw a corresponding diagnosis.

Differential diagnosis

Serum purulent secretion: a lubricious, colorless, transparent liquid secreted by the serosa in the serum. The production of serous purulent secretion is generally caused by bacterial infection, resulting in local tissue inflammation, pus formation, formation of a certain pustule, and pus out of the damaged tissue, forming a certain secretion. Purulent secretions are generally yellow, viscous, and relatively thin.

Vaginal purulent secretion: vaginal secretions are yellow-green, purulent. Increased vaginal discharge, yellow water or purulent, or bloody secretions, may be associated with burning sensation or itching of the vulva. Children often have red and swollen vulva, purulent secretions, should pay attention to the presence or absence of vaginal foreign body. Older women with vaginal mucosa contracture, showing smooth congestion, bleeding, and more purulent discharge. Trichomonas, fungal infections, and genital malignancies must be excluded.

Cervical mucus purulent secretion: clinical common acute cervicitis is mucopurulent cervicitis (MPC), which is characterized by purulent or mucopurulent discharge on the cervical canal or cervical canal swab specimen. Some patients are asymptomatic, and those with symptoms are mainly characterized by increased vaginal discharge and mucopurulent genital itching and burning sensation caused by vaginal secretions. In addition, there may be backache and lower abdominal pain, as well as inter-menstrual bleeding, bleeding after sexual intercourse and other symptoms.

Urinary secretion of mucus or purulent secretion: refers to the clinical manifestations of urethritis, and secretion smears and culture can not detect a genitourinary system infectious disease of Neisseria gonorrhoeae. Because female patients not only have urinary tract inflammation, but also cervical inflammation, it is also called "non-specific reproductive tract infection (NSGI). It is mainly caused by infection with Chlamydia trachomatis or Ureaplasma urealyticum, and a few can also be caused by Trichomonas vaginalis. Caused by Candida albicans and herpes simplex virus, etc. It is one of the common sexually transmitted diseases.

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