Friday, March 19, 2010

Differential Diagnosis from vaginal discharge


Differential Diagnosis of Vaginal Infections



Diagnostic Criteria

Normal

Bacterial Vaginosis

Vaginitis Trichomonas

Candida Vulvovaginitis

Vaginal pH

3.8 - 4.2

> 4.5

4.5

< 4.5 (usually)

Discharge

White,thin, flocculent

Thin, white (milky), gray

Yellow, green, frothy

White, curdy, "cottage cheese" 

Amine odor 
"whiff" test

Absent

fishy

fishy

Absent
Microscopic
Lactobacilli,
epithelial cells

Clue cells, adherent cocci, no WBC's

Trichomonads, WBC's >10/hpf 

Budding yeast, hyphae, pseudohyphae

1 comment:

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