Physical examination

1. Candidal vaginitis most often causes a nonmalodorous, thick, adherent, white vaginal discharge that appears "cottage cheese-like."

2. The vagina is usually hyperemic and edematous. Vulvar erythema may be present.

E. The normal pH level is not usually altered with candidal vaginitis. Microscopic examination of vaginal discharge diluted with saline (wet-mount) and 10% KOH preparations will reveal hyphal forms or budding yeast cells. Some yeast infections are not detected by microscopy because there are relatively few numbers of organisms.

F. Confirmation of candidal vaginitis by culture is not recommended. Candida on Pap smear is not a sensitive finding because the yeast is a constituent of the normal vaginal flora.

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