1. Syphilis: A syphilitic chancre is a lesion associated with primary syphilis that is transmitted through direct contact with a syphilis sore and is caused by the sexually transmitted bacterium Treponema pallidum (Ball et al., 2015). The chancre usually lasts 3 to 6 weeks, heals without treatment. The ulcer presents as a solitary lesion, is firm, small, round and painless. Scraping from the ulcer when examined microscopically show spirochetes (Ball et al., 2015).
GENITALIA ASSESSMENT 5 2. Molluscum Contagiosum: A sexually transmitted, viral infection of the skin and mucous membranes and is spread by person to person contact/ Painless genital, white or flesh colored, dome shaped papules that are round or oval (Ball et al, 2015). Lesions are usually small, 2-5 mm in diameter and scratching can spread them (Dains et al., 2016). Characteristics of the lesions are enough for diagnosis and is likely a finding in HIV infected patients (Dains et al., 2016). 3. Condyloma Latum: Is a sexually transmitted disease caused by the bacterium T . pallidum and appears 6 to 12 weeks after infection (Ball et al., 2015). Upon assessment, flat, round or oval papules covered by gray exudate are found (Ball et al., 2015). This occurs in about one-third of secondary syphilis patients and is characterized by painless, mucosal, and warty erosions which are flat, and velvety.
GENITALIA ASSESSMENT 6 References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Brown, D. L., & Frank, J. E. (2003). Diagnosis and Management of Syphilis. American Family Physician, 68(2), 283-290. Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby. Riaz, A., & Wei, G. (2017). Chancre of primary syphilis. Journal of Education & technology in Emergency Medicine; 2(4). DOI: Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis. Wilson, B. (2017). Subjective Data Vs. Objective Data in Nursing. The Nerd Nurse.
- Summer '15