Harrison's PodClass: Internal Medicine Cases and Board Prep Ep 137: A 21-Year-Old with Vaginal Discharge
Mar 13, 2025
Dive into the intriguing case of a 21-year-old college student facing a persistent malodorous vaginal discharge. The discussion highlights the importance of STI testing while dissecting common culprits like trichomonas and bacterial vaginosis. The complexities of diagnosing infections are explored, with a sharp focus on physical examination findings. Additionally, the risks associated with bacterial vaginosis, including complications during pregnancy, are thoroughly examined. Learn about diagnostic criteria and treatment options while busting common myths surrounding these conditions.
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Bacterial Vaginosis Diagnosis
- Bacterial vaginosis (BV) is likely the diagnosis, considering the patient's symptoms and lack of inflammation.
- BV is a syndrome, not a true STI, marked by vaginal malodor and a gray discharge.
BV Risk Factors and Recurrence
- Sexually inactive women don't develop BV, and douching increases the risk.
- Treating male partners doesn't prevent BV recurrence.
Risks Associated with BV
- BV, trichomoniasis, and candidiasis all elevate HIV risk.
- BV increases premature labor risk and can cause pelvic infections.
