Level 2: Vaginal Discharge – MHROS: Expert Panel DDX

How does your differential compare with the experts?

What physical exam maneuvers would you like to perform?

Experts’ DDX:

1. Infectious
   1. STI (sexually transmitted infection)
      1. Gonorrhea
      2. Chlamydia
      3. Syphilis
   2. Bacterial vaginosis
   3. Trichomonas
   4. Candidiasis
   5. Pelvic inflammatory disease (PID)
   6. Urinary tract infection
   7. Herpes
2. Retained foreign body (with or without infection)
3. Dermatitis (contact)
   1. Allergic reaction to condom, lubricant
4. Shaving irritation
5. Deliberate self-injury
6. Cancer – cervical, vaginal, uterine
7. Fistula