Patient presents with complaints consistent with trichomoniasis, a sexually transmitted infection (STI) caused by the protozoan parasite Trichomonas vaginalis.  Symptoms reported include vaginal discharge described as frothy, yellow-green, and malodorous, accompanied by vulvovaginal itching, dyspareunia, and dysuria.  Physical examination reveals erythema and edema of the vulva and vagina, with punctate hemorrhages on the cervix (strawberry cervix).  A wet mount microscopy examination of vaginal discharge confirms the presence of motile trichomonads.  Diagnosis of Trichomonas infection confirmed.  Differential diagnoses considered included bacterial vaginosis, candidiasis, and other STIs.  Patient education provided regarding safe sex practices, partner notification, and the importance of treatment adherence.  Treatment plan includes metronidazole 500mg orally twice daily for seven days.  Patient advised to abstain from sexual intercourse until treatment is completed and both patient and partner(s) are asymptomatic.  Follow-up appointment scheduled in one week to assess treatment response and screen for other STIs.  ICD-10 code A59.0, trichomoniasis, assigned.  Medical billing codes for microscopy and office visit will be applied as appropriate.  Patient advised to contact the clinic if symptoms worsen or do not improve with treatment.