VAGINAL INFECTIONS / CHART/ PH LEVELS DESCRIPTION

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DIFFERENTIAL DIAGNOSIS OF VAGINAL INFECTIONSPage by: E.J. Mayeaux, Jr., M.D.Louisiana State University Medical Center Shreveport, Louisiana------------------------------------------------------------------------Diagnostic Normal Bacterial Trichomonas Candida

Criteria Vaginosis Vaginitis VulvovaginitisVaginal pH 3.8 - 4.2 > 4.5 4.5 < 4.5 (usually)Discharge White,Thin, Thin, white, Yellow, green, White, curdy, flocculent gray, frothy, "cottage cheese" Amine odor Absent fishy fishy Absent"whiff" testMiroscopic Lactobacilli, Clue cells Trichomonads, Budding yeast, epithelial adherent cocci WBC's >10/hpf hyphae, cells noWBC's Pseudohyphae

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