RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57675405
T1 Chapter 84. Trichomonas Vaginitis
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57675405
RD 2024/10/12
AB A  27-year-old  woman  presents  with  a  vaginal  itching,  odor,  and  discharge  for  1  week.  She  has  one  partner  who  is  asymptomatic.  Speculum  examination  shows  a  strawberry  cervix  seen  with  Trichomonas  infections  (Figure  84-1).  This  strawberry  pattern  is  caused  by  inflammation  and  punctate  hemorrhages  on  the  cervix.  There  is  a  scant  white  discharge  with  a  fishy  odor.  Wet  mount  shows  trichomonads  swimming  in  saline  (Figures  84-2  and  84-3).  The  trichomonads  are  larger  than  white  blood  cells  (WBCs)  and  have  visible  flagella  and  movement.  She  is  diagnosed  with  trichomoniasis  and  treated  with  2  g  of  metronidazole  in  a  single  dose.  The  patient  is  tested  for  other  sexually  transmitted  diseases  (STDs)  and  her  partner  is  treated  with  the  same  regimen.