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"}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.