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GYNAECOLOGY SEMINAR Trichomoniasis Candidiasis

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GYNAECOLOGY SEMINAR Trichomoniasis Candidiasis

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    1. GYNAECOLOGY SEMINAR Trichomoniasis & Candidiasis By Hareesh Krishnan B Roll no : 18 3rd year www.similima.com 1

    2. www.similima.com 2

    3. Trichomonas Protozoan Actively motile , slightly larger than a leucocyte Anaerobic TYPES Tr. Buccalis : normal inhabitant of mouth Tr. Hominis : normal inhabitant of anal canal and rectum Tr. Vaginalis : found in the vagina www.similima.com 3

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    5. 20 % cases are asymptomatic Symptoms develop after 4 to 28 days after : a. sexual contact with infected person b. contact with infected material like towel or toilet etc. 70 % of cases show typical profuse frothy discharge Vaginal wall tender Pruritis & inflammation of vulva Multiple punctate strawberry spots on vaginal vault and portio vaginalis of cervix ( strawberry vagina ) Symptoms www.similima.com 5

    6. Typical discharge of Trichomoniasis www.similima.com 6

    7. Examination of a wet film preparation under the microscope at 35 degree Celsius On a smear stained for cytology PCR & antigen testing Diagnosis www.similima.com 7

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    9. Caused by yeast like candida albicans They are gram positive organisms Candidial / Monilial Vaginitis www.similima.com 9

    10. Promiscuity Immunosuppression Pregnancy Steroid therapy OC pills DM Obesity Poor personal hygiene Risk Factors www.similima.com 10

    11. Cardinal symptom pruritis vulvae Dysuria Thick curdy flaky discharge www.similima.com 11

    12. Based on clinical findings Microscopic examination of a smear of vaginal discharge treated with 10 % KOH solution Gram staining By culturing in Sabourauds agar in Nickersons medium www.similima.com 12

    13. www.similima.com 13

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