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- Diagnostic Algorithm
- Diagnostic Algorithm
- Annotations
- A: The Vulvovaginal Patient
- B: The patient’s history
- C: Targeted (non-genital) physical examination
- D: Patient tolerance for genital exam
- E: Detailed, systematic vulvar examination
- F: The vulvar architecture
- G: Vulvar biopsy
- H: The vulvar epithelium
- I: Pain and symptom mapping and the Q-tip test
- J: Lifestyle issues
- K: Vulvar pain and vulvodynia
- L: Exam of the hymenal ring and the pelvic floor
- M: Speculum exam and examination of the cervix.
- N: The vaginal architecture
- O: The vaginal epithelium
- P: Vaginal secretions, pH, microscopy and other testing
- Q: Bimanual exam
- R: Can you make a probable diagnosis?
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