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  1. David A. Nardone, MD1
  1. 1Oregon Health & Science University
 Portland,Oregon, USA

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    I read with interest the commentary by Doust in the 2004 Sep/Oct issue.1 I concur that the laboratory evaluation of vaginitis, in general, is superior to individual historical and physical findings. However, 3 additional points deserve emphasis. Firstly, evaluating combinations of clinical findings for calculating likelihood ratios (LRs) would be helpful, as combinations have been evaluated in at least 1 other clinical entity.2 Secondly, evaluating LRs …

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