30.12.2012 Views

Dysuria with a Negative Urine Culture or When is a UTI not a UTI?

Dysuria with a Negative Urine Culture or When is a UTI not a UTI?

Dysuria with a Negative Urine Culture or When is a UTI not a UTI?

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Case 7: vaginal d<strong>is</strong>charge<br />

• A 32 year old woman complains<br />

of a pers<strong>is</strong>tent vaginal d<strong>is</strong>charge<br />

and burning f<strong>or</strong> months<br />

• The exam <strong>is</strong> unremarkable<br />

except f<strong>or</strong> a thin homogeneous<br />

d<strong>is</strong>charge<br />

• Wet prep <strong>is</strong> negative f<strong>or</strong> clue<br />

cells, hyphae, and<br />

trichomonads

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