Trichomonas vaginalis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Vulvovaginitis DDX}} | |||
==Treatment== | ==Treatment== | ||
Revision as of 00:04, 8 March 2014
Background
- Considered an STI
- A/w preterm birth, PID, cervical cancer, increased transmission of other STIs
Diagnosis
- Yellow, malordorous discharge
- Vaginal erythema or edema
- Wet mount shows mobile trichomonads
Differential Diagnosis
Vulvovaginitis
- Bacterial vaginosis
- Candida vaginitis
- Trichomonas vaginalis
- Contact vulvovaginitis
- Bubble baths and soaps
- Deodorants, powders, and douches
- Clothing
- Atrophic vaginitis due to lack of estrogen (AKA Vulvovaginal atrophy)
- Lichen sclerosus
- Tinea cruris
- Chlamydia/Gonorrhea infection
- Pinworms
- Vaginal foreign body
- Toilet paper
- Other
- Genitourinary syndrome of menopause
- Foreign body
- Allergic reaction
- Normal physiologic discharge
Treatment
- Treat sexual partners
- Metronidazole 2gm PO in single dose
- If pregnant d/w OB prior to TX, Flagyl associated with preterm labor
- Metronidazole 500mg PO BID X 7d
See Also
Source
Tintinalli