TemplateNewborn vaginal dischargeTap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.Try a Repertoire Linenewborn vaginal dischargepseudomenses: blood tinged, breast budsinfant vaginal discharge: white discharge, hymenal tagvaginal discharge newborn: foul dischargenewborn vaginal bleeding: prolonged bleedingnewborn vaginal discharge: bulge, urology referralPractice wording only: leave out patient details. Nothing typed here is saved or sent. Practice a case insteadDischargeChoose oneFirst lineWhite mucoid dischargeSmall amount of blood-tinged dischargeWhite mucoid discharge with a small amount of bloodReviewedChoose anyOnset, amount, color, feeding, and wet diapers reviewedDefaultExamChoose oneNormal external genital exam without redness, swelling, or a massDefaultNormal external genital exam with a hymenal skin tagVulvar redness with foul-smelling or colored dischargeBulging or a mass at the vaginal openingBreast budsChoose anyBreast buds also present from maternal hormonesAssessmentChoose oneMost consistent with physiologic discharge from maternal hormone withdrawalDefaultBleeding beyond the expected newborn period; evaluation plannedDischarge concerning for infection; introital swab sentMass at the vaginal opening; referral for evaluationPlanChoose anyNo treatment needed; gentle routine diaper care with front-to-back wipingDefaultTestingChoose anyIntroital swab for culture sentUrinalysis and urine culture sentPelvic and renal ultrasound orderedGonorrhea and chlamydia testing sentReferralChoose oneReferred to pediatric and adolescent gynecologyReferred to pediatric urologyReferred to pediatric surgeryFollow-upChoose oneas neededat the next well checkDefaultafter the resultsafter the specialist visitCounseling paragraphChoose oneParagraphWhite mucus or a small amount of bleeding from the vagina is normal in the first days of life as the mother's hormones leave the baby's body, and it stops on its own; breast swelling has the same cause and should not be squeezed. Recommended supportive care with an emphasis on gentle front-to-back wiping with water or mild wipes. Return precautions given including bleeding that is heavier or lasts more than a few days, foul-smelling or green or yellow discharge, swelling, redness, poor feeding, fewer wet diapers, fever, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.DefaultFoul-smelling or colored discharge is not part of the normal newborn pattern, so a swab was sent to look for infection, and treatment will follow the result. Recommended supportive care with an emphasis on gentle front-to-back wiping and frequent diaper changes. Return precautions given including fever, poor feeding, fewer wet diapers, spreading redness, unusual sleepiness, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.This finding is not part of the normal newborn pattern, so the next steps above will look for the cause. Recommended supportive care with an emphasis on gentle diaper care. Return precautions given including heavier bleeding, swelling, trouble passing urine, poor feeding, fever, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.What the sources coverDischarge type (white, blood-tinged, both)Exam: normal, hymenal tag, redness with foul discharge, massBreast buds from maternal hormonesPhysiologic vs prolonged vs infection vs massIntroital swab; urinalysisGynecology; urologyReturn precautionsReturn precautions in the templatebleeding that is heavier or lasts more than a few daysfoul-smelling or green or yellow dischargeswellingrednesspoor feedingfewer wet diapersfeverSourcesHealthyChildren.org: Symptom checker, Newborn Appearance QuestionsFew formal guidelines cover this topic, so the template also leans on expert opinion.