VAGINITIS CASE 1

ANSWERS

What will you be looking for on exam?

• Look at the external genitalia to rule
  out ulcerations, vesicles and skin lesions that might account for the
  complaint of itching. 

• Look to see if there actually is discharge
  and note the color and consistency.  Thin whitish-grayish is
  characteristic of BV, frothy yellow-green is characteristic of trich, and
  curdy white is characteristic of candida. 

• Check the vaginal mucosa.  If
  it’s delicate and bleeds easily, this suggests atrophic vaginitis.

• Check the cervix for discharge coming
  from the os (suggesting trich or PID)

• Bimanual – make sure there’s only
  minimal cervical motion tenderness, uterine tenderness, and adnexal
  tenderness.

Candida Discharge

Trichomonas discharge

Bacterial Vaginosis Discharge