Patient presents with complaints consistent with vaginitis.  Symptoms include vaginal discharge, vaginal itching, vulvar irritation, and dyspareunia.  Onset of symptoms began approximately [duration] ago.  The patient reports [character of discharge: e.g., thick, white, watery, gray, yellow, green] discharge with a [character of odor: e.g., fishy, yeasty, foul, none] odor.  Associated symptoms may include burning sensation during urination, external dysuria, and vulvovaginal erythema.  The patient denies fever, chills, abdominal pain, or other systemic symptoms.  Medical history includes [relevant medical history, e.g., diabetes, recent antibiotic use, pregnancy, menopause].  Gynecological history includes [gravidity, parity, last menstrual period, history of sexually transmitted infections].  Pelvic examination reveals [findings, e.g., erythematous vulva, vaginal discharge, cervical motion tenderness].  A wet mount preparation was performed, revealing [microscopic findings, e.g., clue cells, budding yeast, hyphae, trichomonads].  The pH of the vaginal discharge was measured as [pH value].  Based on the patient's presentation and examination findings, the diagnosis of [type of vaginitis: e.g., bacterial vaginosis, yeast vaginitis, trichomoniasis] is made.  Treatment plan includes [pharmacological treatment, e.g., metronidazole, fluconazole, clotrimazole] with instructions for administration.  Patient education provided regarding hygiene practices, safe sex practices, and follow-up care.  Differential diagnoses considered include allergic reaction, contact dermatitis, and atrophic vaginitis.  ICD-10 code [appropriate ICD-10 code] is assigned.  Follow-up scheduled in [duration] to assess treatment response.