A 20-year-old female complains of thin vaginal discharge and pruritus. On pelvic examination, there are "strawberry spots" on the vaginal walls. With this infection, it is important to:
A. Treat the patient's partner
B. Perform STD and HIV testing
C. Look for characteristic clue cells
D. A and B
ANS: D
The presenting complaints with trichomoniasis are discharge and itching. It can be differentiated from yeast by the discharge, which is thin and frothy rather than the thick, curdlike discharge of yeast. It can also be differentiated from G. vaginalis by the presence of vulvar itching and inflammation with trichomoniasis but no complaint of odor, as there is with G. vaginalis. Inflammation with petechiae of the vaginal walls, known as "strawberry spots," is diagnostic of T. vaginalis. Male partners are usually asymptomatic but harbor the organism, and they must be treated along with the patient; intercourse should be avoided or condoms used until treatment is completed.
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