Match the following gynecologic infections with their classic clinical and laboratory findings.
- Bacterial vaginosisThin, homogenous, grayish-white vaginal discharge with a characteristic 'fishy' odor upon potassium hydroxide addition and pH > 4.5
- Trichomonas vaginalis infectionFrothy, yellow-green vaginal discharge with punctate cervical hemorrhages and motile, flagellated organisms on wet mount
- Vulvovaginal candidiasisThick, clumpy white vaginal discharge with vulvovaginal erythema, intense pruritus, and a normal vaginal pH (< 4.5)
- Chlamydia trachomatis cervicitisMucopurulent endocervical discharge with easily induced cervical bleeding (friability) and an absence of vaginitis symptoms
Answer
Bacterial vaginosis matches with thin grayish-white discharge and positive whiff test. Trichomonas matches with frothy yellow-green discharge and motile organisms. Candidiasis matches with thick clumpy white discharge and normal pH. Chlamydia matches with mucopurulent cervicitis and friability.
Each common gynecologic infection has a highly distinct clinical presentation that allows for accurate diagnosis. Recognizing the difference between normal vaginal pH (Candidiasis) and elevated pH (Bacterial vaginosis, Trichomoniasis) is a crucial initial step, followed by specific discharge characteristics.
Step-by-Step Solution
Key Concept
Gynecologic Infections
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