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Old 04-14-2010
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ObGyn Differentiating Vaginal Infections

The Boards love to ask about this in clinical scenarios seen both in all the steps but particularly CK.

Here's a table of comparison that help us differentiate the three most common vaginal infections (Bacterial, Parasitic, and Fungal).

Differentiating Vaginal Infections-vdtable.jpg
click to enlarge
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Old 08-14-2011
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Arrow Types of Vaginal Discharges

Here is quick list of Vaginal Discharges and their common presentation with diagnosis -

White-curd like = Candida Albicans Vaginitis

Purulent = N.Gonorrhoeae & C.Trachomatis

Yellow-Green, foamy, foul smelling = Trichomonas

Gray, fishy odor = G.Vaginalis Vaginosis

Please add any other information!
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Old 08-25-2011
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Bacterial vaginosis is so called due to the lack of inflammation...if there was any inflammation present, it would have been called vaginitis
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Old 10-08-2011
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The most common cause of vaginal discharge is bacterial vaginosis.
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Old 11-12-2011
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Bacterial vaginosis:
- Most often gray, thin, and homogeneous
- Adherent to the vaginal mucosa
- May observe small bubbles in the discharge fluid
Differentiating Vaginal Infections-bacterial-vaginosis.jpeg

Differentiating Vaginal Infections-trichomoniasis.jpeg

Vaginal candidiasis:
Differentiating Vaginal Infections-vulvovaginal-candidiasis.jpeg

Differentiating Vaginal Infections-gonorrhea.jpg
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