Chancroid physical examination

Chancroid Microchapters
Home
Patient Information
Overview
Historical Perspective
Pathophysiology
Causes
Classification
Differentiating Chancroid from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Chancroid physical examination On the Web
Most recent articles
Most cited articles
Review articles
Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Chancroid physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA onChancroid physical examination
CDC onChancroid physical examination
Chancroid physical examinationin the news
Blogs onChancroid physical examination
Directions to Hospitals Treating chancroid
calculators and risk factors for Chancroid physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, M.D. Nate Michalak, B.A. Serge Korjian M.D.

Physical Examination

Vital Signs

Typically normal

Skin

A patient may present with either of the following types of lesions on the genitals, depending on the stage of infection:

• Erythematous papules
• Pustules
• Ulcers

Ulcer characteristics:

• Ranges in size from 3 to 50 mm (1/8 to 2 inches) in diameter
• Painful
• Soft, nonindurated
• Irregular border
• Sharp margins
• Grey/yellow exudate
• Males typically have a single ulcer
• Females typically have multiplee ulcers
• May look similar to syphilitic chancre

Common locations in males

• Foreskin (prepuce) (most common)
• Groove behind the head of the penis (coronal sulcus)
• Shaft of the penis
• Head of the penis (glans penis)
• Opening of the penis (urethral meatus)
• Scrotum (least common)

Common locations in females

• labia majora (most common). "Kissing ulcers" may develop, defined as ulcers that occur on opposing surfaces of the labia.
• labia minora
• Perineal area
• Inner thighs (least common)

Other Signs

• Inguinal lymphadenitis in approximately 50% of patients, known as buboes (typically unilateral and predominantly in males)
• Approximately 25% of patients with lymphadenopathy may present with abscesses in lymph nodes or ruptured buboes

Gallery

• 

  Chancroid. Adapted from Dermatology Atlas.

• 

  Chancroid. Adapted from Dermatology Atlas.

• 

  Chancroid. Adapted from Dermatology Atlas.

• 

  Chancroid. Adapted from Dermatology Atlas.

• 

  Chancroid. Adapted from Dermatology Atlas.

• 

  Chancroid. Adapted from Dermatology Atlas.

• 

  Chancroid. Adapted from Dermatology Atlas.

• 

  Chancroid. Adapted from Dermatology Atlas.

• 

  Chancroid. Adapted from Dermatology Atlas.

• 

  Chancroid infection has spread to the inguinal lymph nodes, which have enlarged forming buboes.

• 

  Penile chancroid lesion.