SAQ 142 – Gynaecology – vulvovaginitis comparison

Review Completed

Marked out of 12.00

Complete the following table.

Compare non-specific vulvovaginitis, trichomonas, bacterial vaginosis and candidiasis by sexually transmitted status, discharge quality, other symptoms, examination findings, laboratory diagnosis method, and whether male partner treatment is required.

(Marked out of 12.0)

Feature	Non-specific vulvovaginitis	Trichomonas	Bacterial vaginosis	Candidiasis
Sexually transmitted yes/no
Discharge quality
Other symptoms
Examination findings
Laboratory diagnosis method
Male partner treatment yes/no

/ 12

Total Score: 0 / 12

Percentage: 0%

Feature	Non-specific vulvovaginitis	Trichomonas	Bacterial vaginosis	Candidiasis
Sexually transmitted	No; poor hygiene or chemical irritants.	Yes.	Nearly always +/-; may be STI.	No; normal flora in many patients.
Discharge quality	Uncommon.	Frothy, fishy smelling, yellow-green.	Grey-white, malodorous / fishy.	White or grey-white.
Other symptoms	Itch and dysuria.	May be asymptomatic; pruritus, dysuria, dyspareunia, post-coital spotting.	Usually no redness or soreness.	Itch and pain.
Examination findings	Little discharge, erythematous swollen vulva or distal vagina.	Diffusely erythematous vaginal mucosa; strawberry cervix.	Mild redness if any.	White adherent plaques; occasionally red vaginal wall.
Laboratory diagnosis	No specific method.	Microscopy: motile pear-shaped flagellated trichomonads.	Clue cells: bacteria attached to epithelial cells on microscopy.	Microscopy: spores and pseudohyphae.
Male partner treatment	No.	Yes.	No.	Only if symptomatic.

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