Sketchy Micro: Trichomoniasis

Question 1

What syndromes can be caused by Trichomona vaginalis?

Answer 1

Vaginitis (red flower paintings)

Cervicitis (magician pulling the strawberry out of his hat)

Question 2

What are signs and symptoms of vaginitis from T. vaginalis?

Answer 2

Burning, itching, and yellow-green vaginal discharge

(All of this is represented by the homeless woman next to the fire –burning – who is itching herself and covered in a yellow-green light from the traffic lights.)

Question 3

What lab test suggests infection with T. vaginalis?

Answer 3

Wet mounts showing motile trophozoates

Think of the puddles in the street with motile organisms in them.

Question 4

Like G. vaginalis, T. vaginalis creates a discharge that is ______________.

Answer 4

pH 4.5 and up

Think of the guy selling his paintings for $4.5 and up.

Question 5

How should Trichomona vaginalis be treated?

Answer 5

Metronidazole for the woman and her partner

Note: it’s important to treat the partner even though men are asymptomatic, because otherwise the woman will just get it again.

(Think of the COUPLE next to the metro.)