a 29 yr old female present with h/o vaginal discharge and cyclic eruption of papular lesion in vaginal which subsides during menstruation.. pain and itching is also present dx and rx plz..

25 years married male c/o multiple ulcers and discharge since 1 week, no history of extramarital contact, no fever but burning micturition. Diagnosis and treatment. His wife 7 months amenorrhea ( pregnancy).

SEXUALLY TRANSMITED DISEASES::The sexually transmitted diseases,popularly known as STDs are a group of communicable diseases are transmitted predominatly by sexual contacts and caused by wide range of bacteria,viral,protozoal and fungal agents and ecto parasites.(A) BACTERIAL; they are numerous but important are N.Gonorrhoea,Treponema pallidum,Haemopillus ducreyi,etc.(lgv.(B) VIRAL:herpes virus 1 and 2,Hepatitis-B,HIV,Human palliloma viruses,etc,(C)PROTOZOAL:E.histolytica,giardia,Trichomonas vaginalis-a most common cause of leucorrhoea among the women in India.(D) FUNGAL AGENTS:Giardai albicans.(E)Phthirus pubis,sarcoptes scabiei.In India few have casued a major health problems.(1)SYPHILLIS.(2)GONORRHOEA.(3)CHANCROID.(D) ELGV.(E)DONOVANOSIS,(F) HIV-AIDS.Factors responsible in the society are (1) prostitution.(2)Borken families and houses.(3) Sexual disharmony,(4)Easy money in sex.(5) Urbanisation and insutrialisation and single person goes out for livelihood earning.(6) Increased international travels.(7) Changing behavior pattern.(8) Alcohol and drugs.CONTROL OF STDS.(1) Planing at state and national level.(2)Support Intrvention strategies,(3)Support components and (4) Monitoring and evaluation.In India at present huge money are spent only on HIV-AIDS and international funds are rushed in,so other STDs are almost forgotten or ignored.There should be STD clinic with counsellors at each hospital,Government,semigovernments and all the private hospitals and trust hospitals.

HERE IS A PATIENT WITH LESION OVER PREPUSE. SEXUAL CONTACT IS THERE. PATIENT AGED 21 YEARS .VDRL POSITIVE. HIV NEGATIVE. DIAGNOSIS AND TREATMENT. . I AM STILL IN MY CLINIC ALTHOUGH THEY SAY IT IS SUNDAY ..

A 65-year-old healthy male presented with an acute onset painful ulcer with a purulent base. No inguinal lymphadenopathy. Whats diagnosis and rx?