Bacterial vaginosis (Gardnerella vaginalis):
Thin, off-white discharge, fishy odor
No inflammation
pH over 4.5
Clue cells
Positive whiff test (amine odor with KOH)
Tx: metronidazole, clindamycin

Trichomoniasis (Trichomonas vaginalis):
Thin, yellow-green malodorous,
frothy discharge
Vaginal inflammation
pH over 4.5
Motile trichomonads
Tx: metronidazole, treat partners

Candida vaginitis (Candida albicans):
Thick, cottage cheese discharge
Vaginal inflammation
Normal pH (3.6-4.5)
Pseudohyphae
Tx: fluconazole

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