A 31-year-old woman presented for routine examination. Patient History: Her last menstrual period was 2 weeks ago. She has no significant past medical or surgical history. She denies having been treated for sexually transmitted diseases. Physical Examination: On examination, her blood pressure (BP) is 130/70 mm Hg, heart rate (HR) 70 breaths per minute, and the temperature is afebrile. Her thyroid is normal on palpation. Her heart and lung examinations are within normal limits.
The abdomen is nontender and without masses. Examination of the external genitalia reveals a nontender, firm, ulcerated lesion approximately 1 cm in diameter, with raised borders and an indurated base located on the right labia majora. Bilateral inguinal lymph nodes are also noted that are nontender. Her pregnancy test is negative. What are the most likely diagnosis and treatment in this case? *This case is from…
