Question

Stan Carter is a 19-year-old male who presents to the STD clinic because hes had a sore on his penis for one week. Last sexual exposure was three weeks prior, without a condom. No history of recent travel. Predominantly female partners (three in the last six months), and occasional male partners (two in the past year). Last HIV antibody test (two months prior) was negative. Reports three children with two different women 1. Physical Exam No oral, perianal, or extra-genital lesions. Genital exam shows an uncircumcised penis with lesions Lesion is red, indurated, clean-based, and non-tender. Two enlarged, tender right inguinal nodes, 1.5 cm x 1 cm. Scrotal contents are without masses or tenderness. No urethral discharge. No rashes on torso, palms, or soles. No alopecia. Neurologic exam is within normal limits Partner Management Stan had the following sex partners during the past year: Tracy- Last sexual exposure three weeks ago (receptive oral and vaginal sex with Stan) Danielle-Last sexual exposure six weeks ago (vaginal sex with Stan) Jonathan-Last sexual exposure one month ago (receptive anal sex with Stan) Tony-Last sexual exposure eight months ago (insertive oral and anal sex with Stan) Carrie-Last sexual exposure six months ago (receptive oral and vaginal sex with Stan) A. What is the probable diagnosis of this patient? Describe the phase of the disease B. What is the likely microorganism involved? C How did he acquire the disease? D. Stans partner, Tracy is in her second trimester of pregnancy. Should we be concerned about the health of the fetus? Why? E. Who should be screened for STDs based on the epidemiology of the case?

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Answer #1

A. The most probable diagnosis for this condition is syphilis,it may be in primary phase as it is characterised by painless lesion in the genital area

B. A bacterium named treponema pallidum is the causative organism of syphilis.

C. Syphilis is transmitted by any type of sexual contact.

D. As syphilis can be transmitted from mother to baby, Stan's partner tracy need to be screened and treated as congenital syphilis untreated cause severe complications to fetus such as stillbirth,nuerological deficits etc.

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