Microbiology final, always good for the appetite
Posted by enrico | Under Medical School, Medical and Health Monday Oct 2, 2006I have my microbiology final today, so the posts with be coming afterwards, a couple are drafts nearly finished. Until then, I leave you with this wonderful, wholesome clinical case presented here from Bugcards, a flash card set I have:
An 18 y.o. female is your first patient on your Ob/Gyn clerkship. She states that she has had vaginal itching and discharge for approximately 1 week, and says she has been sexually active with “several” partners. A speculum exam reveals copious, frothy, greenish discharge, and a wet mount shows numerous organisms quickly swimming about on the slide. What is your diagnosis and treatment?
I swear I was eating dinner last night when I read that card. My initial diagnosis: depends on whether “several” (their quotes, not mine) meant total number or simultaneous partners; my initial treatment: exorcism.
(The real answers are Dx: Trichonomas vaginalis and Tx: metronidazole)
More later tonight once my appetite returns…
It’s always nice when you can actually see the cause of the problem under the microscope!
How about: pain on cervical motion and mucopurulent cervical discharge? What test to do?
I think STIs were about the only interesting part of infectious diseases for me.. but maybe that’s because I like gyne. Too bad you ruined a good dinner though!