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A 19-year-old female presents to the clinic for evaluation of vaginal discharge. She describes the
A 19-year-old female presents to the clinic for evaluation of vaginal discharge. She describes the discharge as thin and white with a fishy odor. She denies sexual activity and has never been pregnant. On physical exam, her vital signs reveal a temperature of 98, a heart rate of 75 beats per minute, a respiratory rate of 20 breaths per minute, and a blood pressure of 111/60. On exam, there is a thin homogeneous vaginal discharge; the remainder of her exam is unremarkable. The vaginal pH is 5 and clue cells are visible on the wet mount. When a 10% potassium hydroxide solution is applied to the spectrum a fishy odor appears. What is the best treatment for this patient?
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