Q:

A 25yo woman presents with a painful shallow ulcer on the vulva. What investigation has to be done?

waelhammad
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2022-11-02
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A 25yo woman presents with a painful shallow ulcer on the vulva. What investigation has to be done?

  1. HSV antibodies
  2. Syphilis serology
  3. Swab for hemophilus ducreyi
  4. Urine culture
  5. Blood culture
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waelhammad
2022-11-02
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The key is C. Swab for hemophilus ducreyi. [Herpes simplex virus causes multiple painful vesicles and syphilis ulcer is painless. As here single painful ulcer probable dx is Chancroid caused by Hemophilus ducreyi].

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