Which of the following are characteristics of Trichomonas vaginitis?
1. Presence of greenish frothy discharge
2. Vaginal pH > 4.5
3. Presence of clue cells in microscopic examination
4. Strawberry spots on the vaginal mucosa
Select the correct answer using the code given below:
This question asks to identify the key features associated with Trichomonas vaginitis. Let's analyze each characteristic:
1. Presence of greenish frothy discharge: This is a classic and highly characteristic symptom of Trichomonas vaginitis. The discharge is often described as profuse, yellow-green, and frothy or bubbly.
2. Vaginal pH > 4.5: In Trichomonas vaginitis, the vaginal pH typically increases because the parasite metabolizes lactic acid, leading to a less acidic environment. Therefore, a pH greater than 4.5 is commonly observed.
3. Presence of clue cells in microscopic examination: Clue cells are vaginal epithelial cells covered with bacteria (specifically Gardnerella vaginalis). Their presence is a hallmark of bacterial vaginosis (BV), not Trichomonas vaginitis.
4. Strawberry spots on the vaginal mucosa: These are small punctate hemorrhages or red spots seen on the cervix and vaginal walls, often referred to as a "strawberry cervix". This finding is characteristic of Trichomonas vaginitis.
Based on the analysis:
Therefore, the correct combination is 1, 2, and 4.
The correct option includes statements 1, 2, and 4.
A 22 year old woman comes with complaints of pain and discomfort in vaginal region. On examination there is unilateral tender swelling in the posterior half of labium minus, overlying skin is red and edematous. What is the most probable diagnosis?