Discharged 2

Female Reproductive System & Breast


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This lady with poorly controlled diabetes mellitus has presented with a thick, whitish vaginal discharge and vulvar irritation. This is almost pathgnomonic of vulvovaginal candidiasis (VVC).\n\nWhile conditions such as trichomoniasis, bacterial vaginosis, cervicitis and cervical ectropion can also cause a vaginal discharge, these should probably be considered only if VVC is excluded.\n\nThe 10% KOH smear confirms the clinical diagnosis by demonstrating the characteristic findings of pseudohyphae and blastospores.\n\nCandida cultures are not indicated in smear-positive patients. In addition, VVC is not a sexually transmitted infection (STI), and screening for STIs is not indicated here.\n\nWhile VVC (obviously) requires treatment with antifungal age"}]}

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