ABSTRACT
The physical findings of vaginal discharge are quite distinct in patients with cytolytic vaginosis (Table 19). The most important diagnostic aides are microscopic examination of the vaginal discharge and culture for Trichomonasvaginalis and Candida (Figures 16 and 17). Interestingly, there are relatively few white blood cells (WBC) present in the vaginal discharge. This is important because it implies that there is a low probability that the patient has acute cervicitis or endometritis. However, to be complete, if the patient’s history places her at risk for possible infection with Chlamydia trachomatis and Neisseriagonorrhoeae, specimens for detection of these organisms should be obtained from the endocervix.
