Question

39 yo F is evaluated for a 3 week hx of malodorous vaginal discharge. She was treated with abx for a UTI 3 weeks before the onset of sx. Pelvic exam reveals a thin, homogenous, grayish vaginal discharge. Most appropriate management?

Answer 1

The most appropriate management for the patient's symptoms would be to treat her for bacterial vaginosis (BV) with antibiotics.

Step-by-step explanation:

The most appropriate management for a 39-year-old female with a 3-week history of malodorous vaginal discharge, following treatment with antibiotics for a urinary tract infection (UTI), would be to treat her for bacterial vaginosis (BV).

BV is characterized by a thin, homogenous, grayish vaginal discharge with a fish-like odor. It is commonly caused by an overgrowth of Gardnerella vaginalis, which can occur after antibiotic treatment.

Treatment typically consists of oral or topical antibiotics, such as metronidazole or clindamycin.