Bacterial vaginosis BV

• Facts:
  Most common cause of vaginal infection
  Caused by the imbalance of naturally occurring vaginal flora
• History / PE:
  Abnormal, homogenous white vaginal discharge
  "Fishy" smell
• Diagnosis:
  Amsel CRITERIA (3 out of 4 needed)
  1) Thin, gray-white vaginal discharge
  2) Vaginal pH > 4.5
  3) Positive "whiff" test with KOH
  4) Clue cells
• Notes:
  Not transmitted through sexual intercourse
• Differential Diagnosis:
  Trichomonas vaginitis (flagellated organisms)
  Candidiasis (thick, white discharge)