Infection · UKMLA & AKT
Trichomonas vaginalis
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise trichomonas vaginalis — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- Discharge - frothy, yellow-green, offensive; raised pH (>4.5)
- Vulval itching and irritation - local inflammatory response
- Dysuria - urethral colonisation present in up to 90% of women
- Strawberry cervix (colpitis macularis) - punctate haemorrhagic spots; visible to naked eye in ~2% but pathognomonic when present
Strawberry cervix = Trichomonas vaginalis. It is NOT a feature of bacterial vaginosis - a direct and repeated exam question.
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