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

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