How to treat this case?

A 35 yr old male came to op with this lesion on his penis for week H/o intercourse (+) H/o pain (+) No h/o DM/HT

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? PENILE ULCERS .. ? PENILE SORES .. NEED'S.. HEMOGRAM.. URINE ROUTINE.. SWAB C AND S..EXAMINATION.. VDRL ..

Tnx Dr Vijay P
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Rx 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..

Scabies Rx Tab azithromycin 250 mg BD Tab levocetrizine 5 mg BD Dermifort cream use 3 times daily Wear comparable clothes underwear Topical steroids use low dose 7daya otherwise cryotherapy and laser therapy

Adv VDRL. May start doxycycline. Sos penicilin therapy.

Chancre/ Chancroid/ Herpes genitalis Check for lymphadenopathy Seromarkers for viral antigens, VDRL for syphillis, PCR for HSV. Treat according to the diagnosis

Genital ulcers Can be due to syphilis, herpes or candidial Need to palpate lymph nodes(inguinal) Any discharge,? Establish diagnosis and treat accordingly Useless to give empirical therapy

Lacer Surgery Cryosurgery

Adv VDRL Rx Rhustox Mercsol

It looks like herpes genitalis

Penile ulcer Homeoapthic management Merc 30 BD Cinnabaris 30 BD

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