USMLE Forum Archives - USMLE Step 3 - Rheum- Sore on Penis
Rheum- Sore on Penis
harry206 - 05-10-09 10:59
A 27-year-old Caucasian man comes to see you in the office with complaints of painless sores on his glans penis. He first noted the lesions approximately two months ago. He adds that his whole body feels stiff, especially in the early morning hours, but this gets better with activity as the day advances. He also complains of generalized fatigue, achiness and lower back pain. He denies any other symptoms, including chest pain, palpitations, cough, shortness of breath, fever, abdominal pain, diarrhea, blood in the stool, or any skin rashes. His lab results are as follows:
Hb
14.4 g/dL
Ht
38%
MCV
92fl
Platelet count
280,000/cmm
Leukocyte count
8,000/cmm
Segmented neutrophils
70%
Lymphocytes
24%
ESR (Westergren)
80 mm/h
Which of the following would be most likely seen on his diagnostic or physical examination?
harry206 - 05-10-09 10:59
A 27-year-old Caucasian man comes to see you in the office with complaints of painless sores on his glans penis. He first noted the lesions approximately two months ago. He adds that his whole body feels stiff, especially in the early morning hours, but this gets better with activity as the day advances. He also complains of generalized fatigue, achiness and lower back pain. He denies any other symptoms, including chest pain, palpitations, cough, shortness of breath, fever, abdominal pain, diarrhea, blood in the stool, or any skin rashes. His lab results are as follows:
Hb
14.4 g/dL
Ht
38%
MCV
92fl
Platelet count
280,000/cmm
Leukocyte count
8,000/cmm
Segmented neutrophils
70%
Lymphocytes
24%
ESR (Westergren)
80 mm/h
Which of the following would be most likely seen on his diagnostic or physical examination?
The correct answer and explanation will be available after you answer.
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