A 32 year old man present to your office with complaints of a lesio on his penis that developed 3 days ago. He denies any fever or chills or pain. On further questioning, he reports an unprotected sexual intercourse with a stranger that he met in a night club 2 weeks ago. Physical examination reveals a normal vitals and no lymhadenopathy. The genitilia examination reveals the following findings as depicted in the picture
Most appropriate next Step in confirming the Diagnosis :
A. VDRL
B. RPR
C. FTABS
D. Cultures
E. Dark field microscopy of the scraping
e
e
e
E. Dark field microscopy of the scraping……. Primary syphilis
e
e
E
e primary syphilis.
E
eeee
C. confirmation for any positive or equivocal nontreponemal test result should follow with a treponemal test, such as the fluorescent treponemal antibody-absorption (FTA-ABS)
the correct answer is E.
E- primary syphylis presents with painless chancre. Secondary will have a rash on the palm and sole. Dark field examination will show the organism.Treat with penicillin.