"LADYBIRD" - Vaginitis
STUDY GUIDE QUESTIONS:
- How do you localize urinary tract disease versus vaginal disease?
- Is infection in vaginitis primary or is it secondary? If it is secondary, what is the primary disease?
- Where do vaginal anomalies usually form? What is the embryologic basis for this?
- Describe use of phenylpropanolamine (PPA) and diethylstilbestrol (DES) for treatment of urinary incontinence. What is their mechanism of action? What other treatments are commonly used to treat vaginitis?
SIGNALMENT: 12 year old F/S Labrador Retriever
HISTORY: Ladybird was spayed when she was very young. Since about 3 years of age, she has been treated for urethral sphincter mechanism incompetence to effect with phenylpropanolamine. The current complaint is sticky, odorless vulvar discharge. The owner sees the discharge most commonly after Ladybird urinates. Ladybird has been licking at her vulva more than usual for the last several weeks. She also is licking at her paws and scratching at her ears.
PHYSICAL: T 101.4°F P 100 R 36
DIAGNOSTICS:
Complete blood count (CBC)
Serum chemistry profile
Urinalysis
Digital vaginal examination
Vaginoscopy
Culture and sensitivity – Urine
Culture and sensitivity – Vagina
Ear swab
Skin scraping
Skin cytology (from feet)
Vaginal cytology
Serum progesterone assay
Serum estrogen assay
Thoracic radiography – VD
Thoracic radiography - lateral