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Vaginal Discharge Case Study

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14. A 28-year-old female present to your clinic for evaluation of her vaginal discharge. Discharge has been present for one week; it is different than her normal vaginal discharge. The patient is sexually active with her boyfriend of 3 years. Upon exam, you noticed a homogeneous vaginal discharge, normal vaginal wall otherwise. Microscopic evaluation revealed "clue cells" and fishy smell upon applying potassium hydroxide to the sample. A vaginal secretion pH is greater than 4.5. The most appropriate treatment for this condition is: A. Amoxicillin B. Metronidazole C. Fluconazole (Diflucan) D. Azithromycin E. Ciprofloxacin Answer: B Explanation: Answer A is incorrect as the patient has a bacterial vaginosis and amoxicillin is not the drug

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