By Gary M. White, MD
The tender, foul-smelling ulcer of chancroid.
|Herpes Genitalis||Grouped erosions|
|Syphilis||Firm, painless ulcer|
|Chancroid||Tender, foul smelling ulcer|
|Granuloma Inguinale||Beefy ulcer|
|Lymphogranuloma Venereum||Transient ulcer, followed by enlarged nodes|
|Behcet's Disease||Oral aphtha as well|
|Trauma||History of trauma|
|Amebiasis, Leishmaniasis||Recent travel outside of the country|
Sexual history? Past genital lesions? History of sexually transmitted disease?
Is there lymphadenopathy? Smell? Firm? Exudate?
Bacterial and viral culture.
Make your best guess as to diagnosis and treat with antibiotics. If wrong, worse thing is ulcer will stay. You can then reassess tests and retreat.
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