TV

Question 1

What is trichomonas vaginalis

Answer 1

Trichomonas vaginalis- flagellated protozoan-
more common in developing countries
sexual transmitted

Question 2

Sx of TV

Answer 2

asympto often
Sx- green/yellow FROTHY discharge 
offensive odour
dyspareunia
vulval itch/sorenesss
lower abdo pain

O/E- see frothy discharge, 
strawberry cervix (KEY WORD)
with BV as cause of high pH (>4.5)

Question 3

Ix of TV

Answer 3

High vaginal swab -posterior fornix-
pH> 4.5-
direct microscopy on wet slide shows flagellated organisms

Endocervical for other STI
MC&S
(HIV test, NAAT, VDLR, etc)

Question 4

Mx and complciations of TV

Answer 4

1st line - metrodinazole 400mg 7d
2nd line - Metrodinazole 2g STAT
contact tracing, abstinecne and follow up

complications
PTL, LBW, PPROM
more STIs