Trichomonas vaginitis

• Facts:
  Sexually transmitted infection
• History / PE:
  Malodorous, gray-green, thin, frothy vaginal discharge
  Vaginal and vulvar pruritis
  Dysuria, dyspareunia
• Diagnosis:
  Wet mount, with visualization of highly motile, pear-shaped, flagellated organism
  
  pH in 5.0-6.0 range
• Treatment:
  Flagyl
• Differential Diagnosis:
  Bacterial vaginosis (does NOT cause inflammation, clue cells)
  Candida vaginitis (thick, white discharge)