Level 2: Vaginal Discharge – Chief Complaint: Expert Panel DDX

How does your differential compare with the experts?

What questions will comprise your initial history?

Experts’ DDX:

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