Action
Obtain Samples For Testing
Genital Herpes
- NAAT from base of genital ulcer(Class II)
- Viral culture (Class II)
- Clinical examination (Class II)
Genital Warts
- Visual inspection (Class II)
- Refer for biopsy (Class II)
Syphilis
- Serum RPR or VDRL test and serum FTA-ABS test or TP-PA assay (Class I)
- CSF for neurosyphilis suspicion (Class I)
Decision
Treat based on clinical suspicion and exam findings:
- Consider → Genital Herpes, Genital Warts, Syphilis