Genital ulcer
30 year old married, male came in opd Itching on glans penis since 5 dayz back, Sexual history sex with another girl Blister present on glans penis+ What diagnosis and maganemnt of this case sir???
Dr. Jivan Grouped coalescent ulcers with erythema more favor to HERPES GENITALIS... Here this can be differentiate from syphilis and chancroid by VDRL( positive indicates syphilis...usually solitary lesion) and giemsa stain ( chancroid, multiple ulcers with bleeding on palpate...hemophilus ducreyi can seen in stain ) Management.... Tab Acyclovir..800 mg 3 times daily for 7 days...
? PENILE ULCER.. ? HERPES GENITALIS.. ? CHANCROID.. NEED'S.. BLOOD..URINE.. VDRL.. SWAB C AND S EXAMINATION.. TRIDOT..
syphilis if you ve diagnosed syphilis then pls follow this combination: dhanwantra rasayana two bd with gugugglu tikta ghrta 1tsp at night and maha ashwagandha churna 2tsp bd with milk or hot water.. external wash with dasamoola kashaya or pancha valkala kwata churna..
Suggest exclude STD ,including smear from ulcer . ? Herpes progenitalis ? Chancre,? Chancroid
HERPES genitalia ask for CBC ESR Blood SUGAR HIV VDRL treatment Tab Acuvir 800 one five times daily ointment Acuvir apply locally twice daily
Herpes simplex
Herpes genitalis?? Go for swab test Meanwhile you can start this: Tab:Acyclovir 400 mg qid Tab:Ultracet one bd Cap: Becasoule z one od Acyclovir ointment local for five -seven days
.? Herpes simplex
Herpes
Azithromycin 1gm od for 3 days only
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