Level 2: Vaginal Discharge – Initial History: Expert Panel DDX

How does your differential compare with the experts?

What questions will comprise your remaining history and review of systems?

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)
    6. Urinary tract infection
  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