Question

A 30-year-old woman presents complaining of vaginal itching and irritation. She also complains of vaginal discharge. Which of the following supports a diagnosis of uncomplicated candidial vaginitis?

a) Cervical motion tenderness on bimanual examination
b) Positive amine odor with KOH preparation
c) Trichomonads on microscopic examination
d) Vaginal pH < 4.5

Answer 1

Uncomplicated candidial vaginitis can be diagnosed by microscopic evaluation of vaginal secretions and measuring vaginal pH.

Step-by-step explanation:

Uncomplicated candidial vaginitis can be diagnosed by microscopic evaluation of vaginal secretions to determine the presence of an excess of Candida. A culture can also be used to identify chlamydospores and pseudohyphae, which develop from germ tubes. Additionally, vaginal pH can be measured, and a pH of <4.5 is suggestive of candidial vaginitis.