Casel A 20-year-old man presents for evaluation of a rash that he thinks is an allergic reaction. For the past 4 or 5 da

[answerhappygod]

Casel A 20 Year Old Man Presents For Evaluation Of A Rash That He Thinks Is An Allergic Reaction For The Past 4 Or 5 Da 1 (23.65 KiB) Viewed 62 times

Casel A 20-year-old man presents for evaluation of a rash that he thinks is an allergic reaction. For the past 4 or 5 days, he has had the "u" with fever, chills headache, and body aches. He has been taking an over-the-counter flu medication without any symptomatic relief. Yesterday he developed a diffuse rash made up of red, slightly raked bumps. It covers his whole body and he says that it must be an allergic reaction to the flu medication. He has no history of allergies and takes no other medications, and his only medical problem in the past was being treated for goverhoea approximately 2 years ago. On further questioning, he denies dysuria or penile discharge. He denies any genital lesions now but says that he had a "sore" on his penis few months ago that never really hurt and went away on its own after a few weeks so he didn't think much about it. On exam, his vital signs are all normal. He has palpable cervical axillary, and inguinal adenopathy. His skin has an erythematous, maculopapolar eruption covering his whole body including his palms and soles of his feet. No vesicles are noted. His genital examination is normal. Laboratory test using Dieterle stain, shown spirochete shape bacteria stain in grey or black with yellow background. The result of serology test TPHA is also positive 1. Explain the pathological stages of the discase (10 marks) 4. Explain the treatment and the prevention of the disease (5 marks)