Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chief complaint of malodorous vaginal discharge, pruritus, and dysuria. Symptoms described as persistent, yellow-green, frothy discharge. Denies recent antibiotic use or history of PID. Reports unprotected sexual intercourse within the last 2-4 weeks.
Clinical Examination Findings
Pelvic exam reveals characteristic "strawberry cervix" (punctate hemorrhages on the ectocervix). Vaginal pH > 4.5. Speculum exam shows copious, thin, yellow-green, frothy discharge in the posterior fornix. Wet mount microscopy confirms presence of motile, flagellated trichomonads. Whiff test positive.
Treatment Protocol
Prescribed Metronidazole 500 mg orally twice daily for 7 days OR Metronidazole 2g orally as a single dose. Advised abstinence from sexual activity until both patient and partner(s) have completed treatment and are asymptomatic. Partner notification and concurrent treatment recommended.