Genital lesions

#

1. Vesicular with discharge

    1. Dx: Genital Herpes

    2. Treatment

        1. Tab acyclovir 400mg #30 tds

2. Singular, painless without discharge

    1. Dx: syphilis

    2. Tx:

        1. Amp Penicillin G Benzathine 1,200,000 IU/vial (Penador) #2 IM

3. Genital warts:

    1. Vaccination:

        1. Prefilled syringe Gardasil 0-1-6 m

4. Chancroids:

    1. Singular, 1-2cm in diameter, painful and erythematous stalk

    2. Tx:

        1. Tab erythromycin 400mg qid for 7 days

            1. or Amp Ceftriaxone 250mg SD

            2. or Tab azithromycin 1gr SD

5. Inguinal granuloma

    1. Tx:

        1. Tab TMP-SMX 800-160 bid for 20 days