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Vaginal discharge may also be present. This is very stressful for the girl and her parents because of the uncertainty of the cause, repeated visits to see doctors and possible further implications. Psychol Assessment. Haemophilus influenzae is the second most common cause of vulvovaginitis. A careful clinical examination or vaginoscopy may reveal the source of the discharge.

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Discharge can pool in the posterior fourchette and a swab can be taken from this area.

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Infections with threadworms are more common in areas of overcrowding and they can be associated with poor hygiene. Avoid underwear made from synthetic or manmade materials. Her physical examination in the PED was noteworthy for vulvar erythema and a copious, milky, yellow-green discharge. Am J Dis Child. November 20,

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