Trichomoniasis Flashcards
What is trichomoniasis vaginalis?
A protozoan parasite
Where does trichomoniasis vaginalis infect - males?
Urethra
Where does trichomoniasis vaginalis infect - women?
Vagina
How does trichomoniasis usually present?
Asymptomatically
What are the five clinical features of trichomoniasis?
Vaginal Discharge
Genital Itching
Dysuria
Dyspareunia
Balanitis
Describe the vaginal discharge associated with trichomoniasis (three features)
Frothy
Yellow-green
In some cases, a fishy odour
What is dyspareunia?
It is defined as painful sexual intercourse
What is balantitis?
It is inflammation of the glans penis
What are the three investigations used to diagnose trichomoniasis?
Genital Examination
Vaginal pH
Microscopy
What is a feature of trichomoniasis on examination?
Colpitis macularis
What is another name for colpitis macularis?
Strawberry cervix
What is colpitis macularis?
This refers to tiny haemorrhages across the surface of the cervix
What vaginal pH indicates trichomoniasis?
> 4.5
What other condition is associated with a pH > 4.5?
Bacterial vaginosis
What type of swab is used to look for trichomoniasis in females?
A vaginal swab from the posterior fornix of the vagina
What type of swab is used to look for trichomoniasis in males?
A urethral swab
OR
A first catch urine sample
What feature indicates trichomoniasis on microscopy?
The parasite an be visualised
What investigation is used to definitely diagnose trichomoniasis?
Microscopy
What is the first line treatment option for trichomoniasis?
Antibiotics
What antibiotic is used to treat trichomoniasis? What dose is given?
Metronidazole
400mg twice a day for five days
OR
A single dose of 2g
What are the five complications of trichomoniasis?
HIV
Bacterial Vaginosis
Cervical Cancer
Pelvic Inflammatory Disease
Pregnancy Related Complications
