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Ep 183 STIs: Pelvic Inflammatory Disease and Genital Lesions – HSV, Syphilis and LVG

Emergency Medicine Cases

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How to Diagnose Genital Ulcers

Dr. Shafer: These are caused by Klebsiella granulobitis. They're often painless, but they look like they would be painful. So highly vascular, friable, necrotic skin and it almost looks like there are rosions around the site of the lesions that are progressively getting larger. And my understanding is that the treatment for that is actually the same as for LGV, which is 21 days of doxy.

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