What physical examination finding may indicate trichomoniasis?

The presence of punctate lesions on the cervix is a noteworthy physical examination finding that may indicate trichomoniasis. In women with trichomoniasis, the cervix can appear erythematous and may have these specific lesions, often referred to as "strawberry cervix," due to the inflammation and capillary dilation that occur as a result of the infection. This distinct appearance is not commonly seen with other vaginitis etiologies and can be a key clinical sign for diagnosis.

Other findings associated with trichomoniasis may include a profuse, frothy, greenish-yellow discharge, often accompanied by a foul odor, which further differentiates it from other conditions. This context is essential to recognize, as it helps in clinical assessments and guiding appropriate treatment protocols for the infection.