NATIONAL UNIVERSITYPedro Ruiz Gallo HUMAN MEDICINE SCHOOL Lambayeque, September 2012
Pedro Ruiz Gallo NATIONAL UNIVERSITY TEACHER:TEAM: Dra. Rosa Gonzales LlontopNº 03 CURSE: Medical English STUDENTS: Carlos Elera Gustavo Hinostroza Huamán Adler Farroñay Antón Iván Llanos Tenorio Edgar Jhasler Guerrero Jaramillo Sergio Daniel Quesquén Neciosup Víctor
Chancroid Syphilis Painless ulcers Can be very painful hard (indurated) edge have a soft edge can occur in the pharynx as well as on the genitals
STAGE DIAGNOSE OPINION PRIMARY Physical examination findings: Ulcer is usually single, hardened (genital or non-genital) painless testing positive by darkfield / PCR, or highly suspected chancre may be one based on the clinic.SECONDARY Physical examination findings: • Rash (local or generalized) without explanation • Rash on the palms or soles • mucous patches (lesions on the tongue, buccal mucosa, lips) • Condyloma lata (flat, wet, gray-whitish plaques) • patchy Alopecia
• All patients with genital ulcer is due to take tests for Syphilis and Herpes Virus as they are two differential diagnoses and present the association.• Provides a review of the injury and is performed Gram stain which will show Gram negative coccobacilli.• Cultivation of the base of the ulcer or node aspirates (60-80% sensitivity, i.e detects growing from 60 to 80% of infected individuals• You can also perform a biopsy of the lesions which is always presented diagnostic.
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