Family nurse practitioner (Vaginal discharge)
past treatment and ant allergies against any medicine and the nature of the reaction. It is also
necessary to review other system like abdomino-pelvic, gynaecologic, urinary,
gastrointestinal and breast infection. History of immunization needs to be enquired. Dates
and the results of the screening tests like mammography or pap test or colonoscopy should
always be asked for.
3. Diagnoses
Differential diagnosis
The differential diagnosis of bacterial vaginitis includes infection with Trichomonas
vaginalis and Candida albicans, normal vaginal discharge and aerobic vaginitis. The symptom
of trichomoniasis has similar symptoms to bacterial vaginitis, except the fact, that it is
characterized by a frothy consistency in the vaginal discharge and is a sexually transmitted
disease. Chlamydial infection can be present as vulvovaginitis. Cytolithic vaginitis can be
referred to as a common cause of cyclic vulvo-vaginitis. This is majorly caused due to
overgrowth of the Lactobacilli in the vagina (Anand, Singh & Unisa, 2015). The microscopic
flora of the BV is granular which is different to that of aerobic vaginosis, where the bacteria are
less in numbers. This might also cause an increase in the vaginal acidity. However, the diagnosis
of the bacterial vaginosis will be made by the detection of at least three of the following findings
like a thin and homogenous discharge, pH greater than 4.5, positive amine test and the presence
of the clue cells (Hemalatha et al., 2016). Vaginal gram staining can be done as the conformation
test (Ibrahim et al., 2013).

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Family Nurse Practitioner (Vaginal Discharge) | Report

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