101. Painless Penile Ulcer

  1. Christopher P. Holstege MD2,3,4,
  2. Alexander B. Baer MD2,5,
  3. Jesse M. Pines MD, MBA, MSCE6,7 and
  4. William J. Brady MD8,9,10
  1. Andrea L. Neimann MD, MSCE

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch101

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Neimann, A. L. (2011) Painless Penile Ulcer, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch101

Editor Information

  1. 2

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 3

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 4

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 5

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 6

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 7

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 8

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 9

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 10

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. Division of Dermatology, Albert Einstein College of Medicine, Bronx, NY, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 101, painless penile ulcer;
  • 35-year-old male, complaining of “sore” - noticed on the penis;
  • “sore” as being painless - denying any associated penile discharge;
  • currently, in “stable” relationship with a man - and recent HIV test, negative;
  • examination, a single ulcer - on distal end of penis;
  • ulcer, 2 cm in diameter - slightly raised indurated margin, with a clean base;
  • inguinal lymph nodes - mildly enlarged bilaterally, rubbery, discrete and nontender;
  • next most appropriate management strategy at this time - (See page 172 for Answer)