12-01-2008, 03:39 AM
A 22-year-old man presents to the university health clinic for a wellness exam. He appears quiet and reserved. When pressed, he informs the nurse that he has some nonspecific aches and pains. Once you enter the examination room, he admits to some concerns about his genitalia. He is not sexually active at this time and last had sexual intercourse eight months ago. He has been masturbating twice per day for the past few months. He worries that he recently acquired a disease through masturbation. Physical examination reveals an uncircumcised penis and multiple dome-shaped skin-colored papules measuring 1-2 mm in diameter. The papules are located on the sulcus and corona of the glans penis and are arranged circumferentially in a row. Which of the following is the most likely diagnosis?
~ A. Condyloma acuminata
c B. Contact dermatitis
c C. Gonococcal urethritis
c D. Herpes simplex infection
~ A. Condyloma acuminata
c B. Contact dermatitis
c C. Gonococcal urethritis
c D. Herpes simplex infection