Special Techniques

If you suspect urethritis or inflammation of the paraurethral glands, insert your index finger into the vagina and milk the urethra gently from inside outward. Note any discharge from or about the urethral meatus. If present, culture it.

Urethritis may arise from infection with Chlamydia trachomatis or Neisseria gonorrhoeae.

TABLE 11-1 ■ Lesions of the Vulva

Cystic nodule in skin

\Axr

Warts

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