RT Book, Section
A1 Mayeaux, E.J.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114873165
T1 Overview of Vaginitis
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114873165
RD 2024/04/19
AB An  18-year-old  female  presented  to  her  physician  with  vulvar  and  vaginal  itching  associated  with  a  vaginal  discharge.  On  examination,  the  patient  is  noted  to  have  redness  and  excoriations  on  her  vulva  (Figure  74-1).  She  also  had  a  thick  white  discharge  was  seen  covering  cervix  and  vaginal  sidewallson  speculum  exam.  The  pH  of  the  discharge  was  4.2,  and  <10  percent  of  the  epithelial  cells  on  her  wet  prep  were  clue  cells  (Figure  74-2),  but  yeast  and  hyphae  were  noted.  She  was  diagnosed  with  candida  vulvovaginitis  and  was  treated  with  oral  fluconazole.