<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)'
sortBy
tiddler.title
ascending
write '"*[["+tiddler.title+"]]\n"'>>
<<tiddler AutoRefresh with: force>>
avoid vaginal examinations and swabs - if persistent refer to a paediatric gynaecologist
Most newborn girls have some mucoid white vaginal discharge - disappears by 3/12
''Vulvovaginitis''
commonest gynaecological disorder in girls
risk factors include poor hygiene, tight clothing, lack of labial fat pads protecting vaginal orifice and lack of protective acid secretion found in the reproductive years
bacterial (such as Gardnerella and Bacteroides) or fungal organisms may be responsible
sexual abuse may occasionally present as vulvovaginitis
if bloody discharge consider foreign body
''Management''
advise about hygiene
soothing creams may be useful
topical antibiotics/antifungals
oestrogen cream in resistant cases