Bacterial vaginosis differential diagnosis: Difference between revisions

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Revision as of 15:24, 13 October 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Bacterial vaginosis diagnosis is unlikely In the absence of microscopy,

A lack of fishy odor (negative whiff test) makes the diagnosis of bacterial vaginosis (BV) unlikely.
Normal vaginal PH (<4.5). Other causes of increased pH include
Presents of dysuria
signs of inflammation in vagina


Disease	Findings
Trichomoniasis	Presents with dyspareunia or signs of vaginal inflammation
Atrophic vaginitis	Presents with dyspareunia or signs of vaginal inflammation
Desquamative inflammatory vaginitis	Presents with dyspareunia or signs of vaginal inflammation
Vaginal Candidiasis
[Cervicitis]]

@@ Line 6: / Line 6: @@
 ==Differential Diagnosis==
+Bacterial vaginosis diagnosis is unlikely In the absence of microscopy,
+*A lack of fishy odor (negative whiff test) makes the diagnosis of bacterial vaginosis (BV) unlikely.
+*Normal vaginal PH (<4.5). Other causes of increased [[pH]] include
+*Presents of [[dysuria]]
+*signs of [[inflammation]] in [[vagina]]
+{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
+|+
+! style="background: #4479BA; width: 120px;" | {{fontcolor|#FFF|Disease}}
+! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Findings}}
+|-
+| style="padding: 5px 5px; background: #DCDCDC;" |'''[[Trichomoniasis]]'''
+| style="padding: 5px 5px; background: #F5F5F5;" |
+*Presents with [[dyspareunia]] or signs of vaginal [[inflammation]]
+|-
+| style="padding: 5px 5px; background: #DCDCDC;" |'''[[Atrophic vaginitis]]'''
+| style="padding: 5px 5px; background: #F5F5F5;" |
+*Presents with [[dyspareunia]] or signs of vaginal [[inflammation]]
+|-
+| style="padding: 5px 5px; background: #DCDCDC;" | '''Desquamative inflammatory vaginitis'''
+| style="padding: 5px 5px; background: #F5F5F5;" |
+*Presents with [[dyspareunia]] or signs of vaginal [[inflammation]]
+|-
+| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Vaginal Candidiasis]]'''
+| style="padding: 5px 5px; background: #F5F5F5;" |
+|-
+| style="padding: 5px 5px; background: #DCDCDC;" | '''[Cervicitis]]'''
+| style="padding: 5px 5px; background: #F5F5F5;" |
+|}
 ==References==