What diagnoses are associated with vesicles in the genital a

Reference no: EM133228067

A 17-year-old boy presents with a small red lesion on the tip of his penis. He noticed an area of erythema a few weeks previously, but it resolved spontaneously. He reports no fever, myalgia, headache, dysuria, or urethral discharge. He is sexually active and only occasionally uses a condom. He did not use a condom during his last sexual encounter 2 weeks previously, however, because his partner uses oral contraception. The adolescent has never been treated for any sexually transmitted infection (STI) and is otherwise healthy. His partners are exclusively female. On examination, he is a sexual maturity rating (i.e., Tanner stage) 4 circumcised male with a 2- to 3-mm vesicle on the glans penis. Minimal erythema is present at the base of the lesion, and no urethral discharge is evident. The testicles are descended bilaterally, and no masses are palpable. Bilateral shotty, non-tender, inguinal adenopathy is evident.

1. What diagnoses are associated with vesicles in the genital area?

2. What risk factors are associated with sexually transmitted infections during adolescence?

3. What screening tests should be performed in the patient with suspected sexually transmitted infection, STi.?

4. What recommendations about partners of the patient with an STi should be given?

5. What issues of confidentially are import to address with the adolescent who seeks treatment for a STi?

Reference no: EM133228067

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