On pelvic examination, you observe a nontender, ulcerated, red lesion with raised borders on a patient's labia. Her inguinal lymph nodes are enlarged but nontender. The patient reports that her partner, who is HIV positive, has a similar lesion on his penis. The clinician should have a high suspicion of:

Question

Quizplus · Accepted Answer

The description of a nontender, ulcerated lesion with raised borders on the labia, along with enlarged but nontender inguinal lymph nodes, is characteristic of primary syphilis. The fact that the patient's partner, who is HIV positive, has a similar lesion increases the likelihood of this diagnosis.

On Pelvic Examination, You Observe a Nontender, Ulcerated, Red Lesion