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Diagnosis is suspected based on the symptoms, and may be verified by testing the vaginal discharge and finding a higher than normal vaginal pH, and large numbers of bacteria. [6] BV is often confused with a vaginal yeast infection or infection with Trichomonas. [7] Usually treatment is with an antibiotic, such as clindamycin or metronidazole.
Infections (bacterial vaginosis, vaginal yeast infection, trichomoniasis), allergic reactions, low estrogen [2] Diagnostic method: Based on examination, measuring the pH, culturing the discharge [3] Differential diagnosis: Inflammation of the cervix, pelvic inflammatory disease, cancer, foreign bodies [3] Treatment: Based on the cause [1] Frequency
Vaginal itching, burning with urination, white and thick vaginal discharge, pain with sex, redness around the vagina [1] Causes: Excessive growth of Candida [1] Risk factors: Antibiotics, pregnancy, diabetes, HIV/AIDS [2] Diagnostic method: Testing the vaginal discharge [1] Differential diagnosis: Chlamydia, gonorrhea, bacterial vaginosis [3 ...
The diagnosis of BV is made by a health care provider based on the appearance of the discharge, discharge pH > 4.5, presence of clue cells, when viewing the collected discharge from speculum exam under the microscope, and a characteristic fishy odor when the discharge is placed on a slide and combined with potassium hydroxide ("whiff test").
Symptoms of vaginal candidiasis are also present in the more common bacterial vaginosis; [56] aerobic vaginitis is distinct and should be excluded in the differential diagnosis. [57] In a 2002 study, only 33% of women who were self-treating for a yeast infection were found to have such an infection, while most had either bacterial vaginosis or ...
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Pelvic and vaginal ultrasounds are helpful in the diagnosis of PID. In the early stages of infection, the ultrasound may appear normal. As the disease progresses, nonspecific findings can include free pelvic fluid, endometrial thickening, uterine cavity distension by fluid or gas.
The Nugent Score is a Gram stain scoring system for vaginal swabs to diagnose bacterial vaginosis (BV).The Nugent score is calculated by assessing for the presence of large Gram-positive rods (Lactobacillus morphotypes; decrease in Lactobacillus scored as 0 to 4), small Gram-variable rods (Gardnerella vaginalis morphotypes; scored as 0 to 4), and curved Gram-variable rods (Mobiluncus spp ...