Pediatric emergency medicine trisk 2124 2124
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FIGURE 92.1 A: Trichomonad in the vaginal discharge of a 17-year-old patient with
gonococcal pelvic inflammatory disease. The flagellated protozoan is elliptical and somewhat
larger than the adjacent polymorphonuclear leukocytes (×225 magnification). B: After
suspension in saline solution for microscopy, trichomonads gradually become swollen and
immobile. This balloon-shaped trichomonad is barely recognizable (×225 magnification).
The classic vaginal discharge of trichomonal vaginitis after puberty is pruritic,
frothy, and yellowish. However, many infected women do not complain of
excessive discharge and the discharge may be scant or nondescript. A “strawberry
cervix” with multiple punctate areas of hemorrhage is pathognomonic for
