<\/p>\n
VAGINITIS<\/span><\/span><\/p>\n This is an on-line exercise.\u00a0 Read the I. Read <\/strong> through the Review Article Current II. Sample Cases<\/span><\/p>\n Case 1<\/strong><\/span><\/span><\/p>\n Ms. A. is a 56 year-old widow who comes to the 1.\u00a0 What are the likely diagnoses? 2.\u00a0 What more history do you need? 3.\u00a0 What will you be looking for on exam? 4.\u00a0 How are wet mount and KOH (or other 5.\u00a0 When would you do a genprobe for Case 2<\/span><\/strong><\/span><\/p>\n Ms. B., a 23 year-old woman, complains of 1.\u00a0 What are the most likely
\naccompanying review article first.\u00a0 Next read the hypothetical cases and
\ntry to answer the questions before clicking through<\/span> to the
\nanswers.<\/span><\/p>\n
\nConcepts: Vaginitis<\/a>, Sobel Jack D.\u00a0 New England Journal of Medicine,
\nVol. 337, No. 26, 1896-1903.<\/span><\/p>\n\n
\nclinic complaining of vaginal discharge over the past 3 weeks associated with
\nmild itching of the vulva and perineum.\u00a0 The discharge is
\nwhitish\/yellowish.\u00a0 Although for many years she has noted intermittent
\nlight, vaginal discharge, this is a different problem.\u00a0 There is no
\nabdominal pain, pelvic pain, urinary complaint, fever, or history of vaginal
\ninfection.\u00a0 <\/span><\/p>\n
\nAnswer<\/a><\/span><\/p>\n
\nAnswer<\/a><\/span><\/p>\n
\nAnswer<\/a><\/span><\/p>\n
\nfungal stain) done?\u00a0 What will you be looking for on these?\u00a0 How is
\nthe whiff test performed?
\nAnswer<\/a><\/span><\/p>\n
\nchlamydia and GC?\u00a0\u00a0 Answer<\/a><\/span><\/p>\n<\/blockquote>\n\n
\nvaginal discharge for one week.\u00a0 She denies itching, irritation, urinary
\nsymptoms, or abdominal pain.\u00a0 She says she frequently has mild discharge
\nduring her menses, but this is worse, and her new boyfriend told her there’s a
\nbad odor.\u00a0 Pelvic exam reveals normal external genitalia, a frothy
\nwhitish discharge in the vagina, no cervical discharge or tenderness, and mild
\ndiffuse tenderness of the uterus and adnexa.\u00a0 The discharge smells fishy
\nbefore adding KOH; afterwards the smell is the same.\u00a0 The pH is
\n5.5.\u00a0 Wet mount reveals no trichomonads, a few white cells, and several
\nsquamous cells that have mild stippling of the borders —\u00a0 they are +\/-
\nclue cells.\u00a0 KOH prep is negative for hyphae or yeast.\u00a0 <\/span><\/p>\n
\ndiagnoses?\u00a0\u00a0\u00a0\u00a0\u00a0 Answer<\/a><\/span><\/p>\n