The two main diagnostic or laboratory procedures that I would consider to evaluate the vaginal condition of the 28-year-old female patient are speculum examination and colposcopy (Awomolo, Palomares, Garcia, Rosen, Duzyj & Ashkinadze, 2018). The rationale for the selected two main diagnostic procedures of examination vaginal condition is entirely based on the fact that the condition could be abnormal consistency or rather malodorous, especially the fishy-smelling discharge (Ghi, Sotiriadis, Calda, Da Silva Costa, Raine ‐ Fenning, Alfirevic, ... & International Society of Ultrasound in Obstetrics and Gynecology, 2016). Ideally, a speculum examination entails the evaluation of the quality of virginal discharge. Hence, it would be determined whether a smear could be acquired in this case of the vaginal condition. As noted by Kozlowski, Burkhardt, Gembruch, Gonser, Kähler, Kagan, ... & Tercanli (2019), colposcopy entails the use of a microscope to examine the ectocervix under a magnified view in a bid to establish, determine the need for biopsies and cervical smears.
I highly disagree with one of the peers' posts that discuss the perception that MRI scans and other standard screening tests such as mammography are the requisite laboratory procedure for evaluating a vaginal condition of a patient who experiences a fishy-smelling virginal discharge (Kirillin, Motovilova & Shakhova, 2017). The fact that we are dealing with the symptoms of a pathologic discharge that include abnormal consistency and malodorous means MRI scans are not the right laboratory test for testing the vaginal condition of the patient (Salani, Khanna, Frimer, Bristow & Chen, 2017).
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Consequently, I highly disagree with the fact that standard screening tests such as mammography could prove useful as a procedure for testing virginal conditions, especially that displays the frothy, curd-like, and fishy smelling discharge. Mammography entails using low energy x-rays for handling trans-abdominal Ultrasound procedures, especially for assessing ovaries and uterus (Togni, Benetti-Pinto & Yela, 2016). Ultimately, I would support the reasoning for using MRI scans in a situation that involves Physiologic leucorrhea that entails utero exposure to maternal estrogen that comes with white-yellow vaginal discharge.
References
Awomolo, A., Palomares, K., Garcia, G. H., Rosen, T., Duzyj, C., & Ashkinadze, E. (2018). Trends in invasive prenatal diagnostic testing at a single institution. Prenatal diagnosis , 38 (10), 735-739.
Ghi, T., Sotiriadis, A., Calda, P., Da Silva Costa, F., Raine ‐ Fenning, N., Alfirevic, Z., ... & International Society of Ultrasound in Obstetrics and Gynecology (ISUOG). (2016). ISUOG Practice Guidelines: invasive procedures for prenatal diagnosis. Ultrasound in Obstetrics & Gynecology , 48 (2), 256-268.
Kozlowski, P., Burkhardt, T., Gembruch, U., Gonser, M., Kähler, C., Kagan, K. O., ... & Tercanli, S. (2019). DEGUM, ÖGUM, SGUM and FMF Germany Recommendations for the Implementation of First-Trimester Screening, Detailed Ultrasound, Cell-Free DNA Screening and Diagnostic Procedures. Ultraschall in der Medizin-European Journal of Ultrasound , 40 (02), 176-193.
Kirillin, M. Y., Motovilova, T., & Shakhova, N. M. (2017). Optical coherence tomography in gynecology: a narrative review. Journal of biomedical optics , 22 (12), 121709.
Salani, R., Khanna, N., Frimer, M., Bristow, R. E., & Chen, L. M. (2017). An update on post-treatment surveillance and diagnosis of recurrence in women with gynecologic malignancies: Society of Gynecologic Oncology (SGO) recommendations. Gynecologic oncology , 146 (1), 3-10.
Togni, R., Benetti-Pinto, C. L., & Yela, D. A. (2016). The role of diagnostic laparoscopy in gynecology. Sao Paulo Medical Journal , 134 (1), 70-73.
