TEALE FENNING

deepa · Joined: 09 Mar 2007 Posts: 20 Location: India

acute trichomoniasis in women of reproductive age is characterised by

1. a blood stained vaginal discharge F
2. vulval oedema and fissure formation F ?
3. recent ingestion of a broad spectrum antibiotics F

docsubhi · Joined: 03 Sep 2007 Posts: 59 Location: london

1. a blood stained vaginal discharge

True

Characterestically frothy greyish discharge but can be blood stained

2. vulval oedema and fissure formation

True

3. recent ingestion of a broad spectrum antibiotics

False

deepa · Joined: 09 Mar 2007 Posts: 20 Location: India

1. a blood stained vaginal discharge
this type of blood stained discharge is seen during pregnancy, can it be seen in non pregnant women too?

2. vulval oedema and fissure formation
this is commonly seen in candidial infections, can u give ref for this

docsubhi · Joined: 03 Sep 2007 Posts: 59 Location: london

Symptoms

Asymptomatic in 25-44% of women
Copious, grayish-green Vaginal Discharge
Fishy odor to discharge
Frothy discharge (Carbon dioxide bubbles)
Sensitivity: 10%
Specificity: 70%
Vulvar and vaginal Pruritus with irritation and edema
Dysuria (20%)
Signs

Vulvar edema and erythema
Strawberry Cervix (2-3% of cases)
Punctate hemorrhages or Petechiae
Telangiectasia

http://www.fpnotebook.com/Gyn/ID/TrchmnlVgnts.htm

Second reference - Nick in the ABC course !!

Xerxes I · Posted: Tue Aug 12, 2008 5:53 pm Post subject:

I would go with all False

deepa · Joined: 09 Mar 2007 Posts: 20 Location: India

even i think all are false

any other suggestions?

rpwalavalkar · Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966

agree with Xerxes -- all false.

the question reads ' characterised by '

none of the stems are characteristic of TV.

can one of you attempt to match them up with the most possible cause???

please read the question in the exam.

r
_________________
Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region

Nick Raine-Fenning · Posted: Wed Aug 13, 2008 8:03 am Post subject:

I agree with you both but think fissure formation and oedema is true. It is not seen in most so would not be charateristic if we said this meant one would expect to see it in > 50% but it is a feature of TV that is not really seen with other infections. If I said to you she had 'fissures and marked vulval oedema' you would definitely say = TV and for that reason I am sticking with true.

The others are false.

docsubhi · Joined: 03 Sep 2007 Posts: 59 Location: london

point taken and rectified!

Maud · Joined: 11 Oct 2007 Posts: 73 Location: Bristol

So what would be characterised by a blood stained discharge? I couldn't think of any other infections that cause the discharge to be bloody, so I said true...
A woman of reproductive age wouldn't have atrophic vaginitis and wouldn't have a foreign body. It's not typical of candida, BV, chlamydia, gonorrhoea, PID, herpes.
Any suggestions?

Maud · Joined: 11 Oct 2007 Posts: 73 Location: Bristol

Oh, maybe cervical cancer could typically cause bloody vaginal discharge. Or an endometrial polyp perhaps.

Nick Raine-Fenning · Posted: Thu Aug 14, 2008 6:53 pm Post subject:

Yes but do not reverse the question inappropriately.

This is about TV and discharge and not asking for causes of blood stained discharge - that is very different.

N