A 26-year-old cisgender woman presents with new vaginal discharge. She reports the onset of a thin, whitish discharge with an unpleasant odor that was most prominent during her recent menses one week ago. She is sexually active only with cisgender women and reports having two sex partners during the past 6 months. She denies fevers, chills, pain during sex, pain with urination, or vaginal itching. On pelvic examination, there is no evidence of vulvovaginal inflammation, but there is a thin, white, homogeneous, “fishy smelling” discharge.
Which one of the following is considered one of the Amsel criteria for diagnosing bacterial vaginosis?
Figure 1. Clue Cells
Illustration by Jared Travnicek, Cognition Studio
Figure 2. Nugent Scoring System for Bacterial Vaginosis
Source: Nugent RP, Krohn MA, Hillier SL. Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation. J Clin Microbiol. 1991;29:297-301.
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Question Last Updated
March 25th, 2022
March 25th, 2022
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