Trichomoniasis Flashcards

1
Q

What is trichomoniasis vaginalis?

A

A protozoan parasite

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2
Q

Where does trichomoniasis vaginalis infect - males?

A

Urethra

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3
Q

Where does trichomoniasis vaginalis infect - women?

A

Vagina

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4
Q

How does trichomoniasis usually present?

A

Asymptomatically

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5
Q

What are the five clinical features of trichomoniasis?

A

Vaginal Discharge

Genital Itching

Dysuria

Dyspareunia

Balanitis

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6
Q

Describe the vaginal discharge associated with trichomoniasis (three features)

A

Frothy

Yellow-green

In some cases, a fishy odour

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7
Q

What is dyspareunia?

A

It is defined as painful sexual intercourse

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8
Q

What is balantitis?

A

It is inflammation of the glans penis

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9
Q

What are the three investigations used to diagnose trichomoniasis?

A

Genital Examination

Vaginal pH

Microscopy

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10
Q

What is a feature of trichomoniasis on examination?

A

Colpitis macularis

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11
Q

What is another name for colpitis macularis?

A

Strawberry cervix

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12
Q

What is colpitis macularis?

A

This refers to tiny haemorrhages across the surface of the cervix

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13
Q

What vaginal pH indicates trichomoniasis?

A

> 4.5

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14
Q

What other condition is associated with a pH > 4.5?

A

Bacterial vaginosis

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15
Q

What type of swab is used to look for trichomoniasis in females?

A

A vaginal swab from the posterior fornix of the vagina

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16
Q

What type of swab is used to look for trichomoniasis in males?

A

A urethral swab

OR

A first catch urine sample

17
Q

What feature indicates trichomoniasis on microscopy?

A

The parasite an be visualised

18
Q

What investigation is used to definitely diagnose trichomoniasis?

A

Microscopy

19
Q

What is the first line treatment option for trichomoniasis?

A

Antibiotics

20
Q

What antibiotic is used to treat trichomoniasis? What dose is given?

A

Metronidazole

400mg twice a day for five days

OR

A single dose of 2g

21
Q

What are the five complications of trichomoniasis?

A

HIV

Bacterial Vaginosis

Cervical Cancer

Pelvic Inflammatory Disease

Pregnancy Related Complications