A. The vulva usually appears normal in bacterial vaginosis. Erythema, edema, or fissure formation suggest candidiasis, trichomoniasis, or dermatitis. Trichomonas is associated with a purulent discharge; candidiasis is associated with a thick, adherent, "cottage cheese-like" discharge; and bacterial vaginosis is associated with a thin, homogeneous, "fishy smelling" discharge. The cervix in women with cervicitis is usually erythematous and friable, with a mucopurulent discharge. Abdominal or cervical motion tenderness is suggestive of PID.
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