Clinical Case Database / Category: Clinical Care

Vaginal discharge and genital tract infections

Publication details

Shady A. Moh. Abdel-rehim MBBCh, Khaled A. Farag MBBCh DGO MRCOG
Foundation Years Journal, volume 1, issue 7, p.322 (123Doc Education, London, November 2007)


A 21 year-old patient presented at the clinic complaining of malodorous vaginal discharge, described as “offensive fishy-odour”. She does not complaint of any vulval or vaginal itching, pain with intercourse or soreness. She is sexually active with one partner and uses oral contraceptive pills. She doesn’t report any episodes of intermenstrual bleeding, post coital bleeding or abdominal pains. History of regular menstrual periods. Physical examination revealed white/grey discharge in the posterior vault.

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Shady A. Moh. Abdel-rehim MBBCh

Foundation 2 Doctor
Department of Obstetrics and Gynaecology
Barnsley Hospital NHS Foundation Trust

Khaled A. Farag MBBCh DGO MRCOG

Consultant Obestetrician and Gynaecologist
Lead Clinician for Gynaecology Oncology
Barnsley Hospital NHS Foundation Trust


1.  British association for sexual health and HIV, National guidelines,, accessed on 3rd October 2007


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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