A 25-year-old male student presents with the chief complaint of rash. There is no headache, fever, or myalgia. A slightly pruritic maculopapular rash is noted over the abdomen, trunk, palms of hands, and soles of feet. Inguinal, occipital, and cervical lymphadenopathy is also noted. Hypertrophic, flat wartlike lesions are noted around the anal area. Laboratory studies show the following: HCT: 40% Hgb: 14 g/dL WBC: 13,000/µL Diff: Segmented neutrophils: 50% Lymphocytes: 50%
Rashes in palms and soles with regional lymphadenopathy indicates syphilis. The anal area wartlike lesion is primary chancres. So the treatment is penicillin.
darkhorse Forum Elite
Topics: 56 Posts: 275
11/04/07 - 09:16 AM
#3
secondary syphyllis...condyloma lata ___________________ When going gets tough, the tough gets going
Justice Forum Fanatic
Topics: 100 Posts: 1,891
11/04/07 - 09:17 AM
#4
drdg wrote: 1. Penicillin Rashes in palms and soles with regional lymphadenopathy indicates syphilis. The anal area wartlike lesion is primary chancres. So the treatment is penicillin.
1. Penicillin
___________________ Don't live in a town where there are no doctors
