Urinalysis and Body Fluids 6th Edition by Majorie DiLorenzo, Susan Strasinger

Exercise 4

A sexually active teenager visited the Women’s Clinic complaining of vaginal itching and soreness. She indicated that she was experiencing increased vaginal secretions that were frothy and yellow to green. Upon examination, the healthcare provider noted a strawberry-like cervix and performed a pH test on the secretions. The pH was 5.5 and the wet prep demonstrated “swimming” organisms.

a. What is the probable diagnosis?

b. What other tests can be performed to confirm this diagnosis?

c. What is the best course of treatment?

d. Should her sexual partner be treated?

e. List three complications that can occur with this disorder.

Step 1 of 5

a.

Probable diagnosis:

Trichomonas vaginalis causes trichomoniasis disorder.

• Trichomonas vaginalis (protozoan) that causes inflammation in vagina.

Diagnostic features:

• Vaginal fluid appears frothy, yellow green, with increased volume

• pH of vagina will be greater than 4.5

• 2+-4+ white blood cells (WBCs) are noticed

• Amine test produces positive result

• Clue cells and other cells occasionally present

• Motile trichomonads are seen in vaginal fluid