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[Expert Solution]: : A 40-year-old woman comes to the office…

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: A 40-year-old woman comes to the office reporting a thin, white vaginal discharge that started about 5 days ago. She tells the NP that she has had to wear a small sanitary napkin. The patient also tells the NP that the has a funny odor after intercourse and the smell persists despite using vaginal douches. PHYSICAL EXAM: · Vital Signs: T98.0F, BP 110/73 mmHg. · Appearance: healthy appearing; well-groomed · Heart, lung and abdomen are unremarkable · Pelvic: Thin white discharge to vaginal wall without erythema. · Microscopic examination of discharge includes a positive KOH whiff test and a vaginal pH > 4.5; many clue cells are also seen. QUESTIONS: 1. What is the most likely differential? Please provide a rationale 2. Which of the above examination findings confirms your diagnosis? 3. What is the cause/pathophysiology of the vaginal discharge disorder? 4. What pharmacological treatment will the NP order for this patient?

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