Trichomonas vaginitis

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1. symptoms

    1. sexually active pt

    2. heavy pussy discharge, gray like, soapy, pruritic

    3. must treat the partner as well

    4. strawberry cervix

2. Treatment

    1. Tab metronidazole 500mg #8 2gr stat, 2gr for partner (can be repeated if relapsed)

    2. In breast feeding:

        1. Tab metronidazole 500mg #8 2gr stat, 2gr for partner

        2. no feeding for 24 hours

    3. if multiple recurrence

        1. Tab metronidazole 500mg #14 bid for 5 days

    4. if pregnant

        1. Tab vaginal clotrimazole 100mg #10 qhs

            1. or ovale vaginal metronidazole 500mg #7 qhs