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Vaginal Discharge And STD

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Diagnosis<br />

• Viral culture of lesion = standard dx method<br />

– Unroof alcohol wiped vesicle with needle and remove<br />

fluid with cotton swab and place in viral culture<br />

medium<br />

• Serology<br />

– a ffourfold f ld or greater t rise i in i antibody tib d titers tit is i observed b d<br />

between acute and convalescent sera in patients with<br />

primary p y infection<br />

– HSV subtypes helpful in predicting risk of recurrence

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