2: Normal Discharge, BV, or VVC? Flashcards
Vulvar pruritis: Yes, swelling, excoriation, redness.
Vulvovaginal Candidiasis (VVC)
Genital ulceration: No.
Normal discharge Bacterial Vaginosis (BV)
Risk of pelvic inflammatory disease: Yes.
Bacterial Vaginosis (BV)
Pelvic pain: No.
Normal discharge Bacterial Vaginosis (BV) Vulvovaginal Candidiasis (VVC)
Risk of pelvic inflammatory disease: No.
Normal discharge Vulvovaginal Candidiasis (VVC)
Main patient concern: Vaginal itching, burning, and/or discharge.
Vulvovaginal Candidiasis (VVC)
Main patient concern: None or variable.
Normal discharge
Dyspareunia: Occasionally.
Bacterial Vaginosis (BV) Vulvovaginal Candidiasis (VVC)
Vaginal pH 3.5-4.5
Normal discharge
Wet prep: Pseudohyphae with yeast buds.
Vulvovaginal Candidiasis (VVC)
Wet prep: Normal flora.
Normal discharge
Genital ulceration: Skin may crack with severe cases.
Vulvovaginal Candidiasis (VVC)
Dyspareunia: No.
Normal discharge
Dysuria: Occasionally.
Bacterial Vaginosis (BV)
Vulvar pruritis: No.
Normal discharge
Wet prep: KOH.
Vulvovaginal Candidiasis (VVC)
Discharge: Thin, homogenous, grayish-white, adherent.
Bacterial Vaginosis (BV)
Vaginal pH <4.5 (usually)
Vulvovaginal Candidiasis (VVC)
Amine odor (KOH “whiff” test): Absent.
Normal discharge and Vulvovaginal Candidiasis (VVC)
Discharge: White/clear and thin/mucoid.
Normal discharge
Vaginal pH >4.5
Bacterial Vaginosis (BV)
Wet prep: Saline solution.
Bacterial Vaginosis (BV)
Dysuria: Severe cases.
Vulvovaginal Candidiasis (VVC)
Discharge: Thick or thin, white, curd-like (“cottage cheese”), adherent.
Vulvovaginal Candidiasis (VVC)
Main patient concern: May be asymptomatic; vaginal discharge; vaginal odor that is often worse after intercourse.
Bacterial Vaginosis (BV)
Amine odor (KOH “whiff” test): Present (fishy).
Bacterial Vaginosis (BV)
Wet prep: Positive for clue cells, decreased lactobacilli.
Bacterial Vaginosis (BV)
Dysuria: No.
Normal discharge
Vulvar prutitis: Mild, if present at all.
Bacterial Vaginosis (BV)
