DIFFERENTIAL DIAGNOSIS OF VAGINAL INFECTIONS

Page by: E.J. Mayeaux, Jr., M.D.
Louisiana State University Medical Center Shreveport, Louisiana


Diagnostic Normal Bacterial Trichomonas Candida Criteria Vaginosis Vaginitis Vulvovaginitis Vaginal 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" test Miroscopic Lactobacilli, Clue cells Trichomonads, Budding yeast, epithelial adherent cocci WBC's >10/hpf hyphae, cells no WBC's pseudohyphae


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