Pediatric emergency medicine trisk 2119 2119

Vaginitis, or inflammation of the vagina, can be produced by chemical and mechanical irritants, foreign bodies, and a variety of infectious agents including viruses, chlamydial species, bacteria, fungi, protozoa, and helminths During childhood, vaginitis is characterized by the presence of vaginal discharge, bleeding, or both After puberty has begun, girls normally have an asymptomatic vaginal discharge This is characterized by an increase in the amount of discharge, which is may be clear, opaque, white, or yellow and may change in nature half way through the monthly cycle, by becoming more mucoid following ovulation There may be an odor, but typically there is no accompanying discomfort, like vulvovaginal itching or irritation