22. Trichomonas vaginitis
• Wet smear, Gram stain to rule out gonococcal
infection
• Treatment
– Metronidazole (500) 1 tab PO bid pc 7 days
– Clotrimazole V.P. (100) Vg suppo OD 6days
• Must also treat partners, no intercourse until
resolved
24. Mucopurulent cervicitis
• Dual therapy
• Gonococcal infection
– Ceftriaxone 125 mg IM stat
• Chlamydial infection
– Doxycycline (100) 1 tab PO bid pc 7 days
– Azithromycin (1g) 1 tab PO stat
• Must also treat partners, no intercourse until
resolved
25. Foreign Bodies
• Children
• Adults—contraceptive devices, pessary,
swabs, tampons
• Purulent vaginal discharge; foul-smelling,
bloody
• Speculum; may use nasal or aural speculum
• Removal then antiseptics