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.