Updated on November 11, 2024 Overview Investigations for vaginal discharge/irritation Speculum exam Vaginal swab Vaginal pH Vaginal KOH prep Wet mount (of vaginal secretions) Whiff test NAAT for chlamydia and gonorrhea TrichomoniasisCandida vaginitisBacterial vaginosisPhysical ExamErythema and irritationErythema and irritationUnremarkableDischargeYellow-green, malodorous“Cottage-cheese” likeGray/White, “fishyWet mount“Motile, flagellated protozoaNothingClue cellsKOH prepNothingPseudohyphae, spores+ whiff testpHElevated (> 4.5)Normal (4.0 – 4.5)Elevated...
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