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Key Feature Specific Field Note

Assessing Competence in family medicine

Vaginitis
In patients with recurrent symptoms of vaginal discharge and/or perineal itching, have a broad differential diagnosis (e.g., lichen sclerosus et atrophicus, vulvar cancer, contact dermatitis, colovaginal fistula), take a detailed history, and perform a careful physical examination to ensure appropriate investigation or treatment. (Do not assume that the symptoms indicate just a yeast infection.)
Clinical Reasoning Skills
Hypothesis generation, Physical
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