Case 2: Mark, a 27-year-old man complaining of a genital ulcer.

Goal: To improve health care providers' ability to recognize, diagnose and treat syphilis.

Objectives:

1. Describe the elements one should include in taking the history of the patient with genital ulcer disease.
2. Describe the appropriate physical examination for the patient with genital ulcer disease.
3. Discuss the differential diagnosis of a genital ulcer whose appearance is consistent with any of the major genital ulcer disease etiologies.
4. Discuss the diagnostic work-up of genital ulcer disease.
5. Discuss selected aspects of diagnosis and treatment of genital ulcer disease.
6. Discuss management of sex partners of people with genital ulcer disease.
7. Discuss appropriate STD/HIV prevention counseling for people with genital ulcer disease.

Development Team:

Clinical content

Jeanne Marrazzo, MD, MPH
Assistant Professor of Medicine, University of Washington School of Medicine
Medical Director, Seattle STD/HIV Prevention Training Center

Risk Reduction content

Alice Gandelman, MPH
Director, California STD/HIV Prevention Training Center

Partner Management content

Denise Tafoya, M.P.A.
Training Coordinator/Trainer, California STD/HIV Prevention Training Center
Greg Perez
Training Instructor, California STD/HIV Prevention Training Center
Solwazi Johnson
Training Coordinator/Instructor, Denver STD/HIV Prevention Training Center
Emily Carson
Curriculum Developer/Instructor, Denver STD/HIV Prevention Training Center
Jay Todd
Director, Texas STD/HIV Prevention Training Center
Tammy Foskey, MA
Assistant Director, Texas STD/HIV Prevention Training Center
LaShonda Kissentaner
Training Manager, Texas STD/HIV Prevention Training Center
Jayson Trussel
Training Coordinator, Florida Department of Health
Sue Anne Payette, MS
Training Director, New York State STD/HIV Prevention Training Center
Paul Reyes
Training Instructor, New York State STD/HIV Prevention Training Center

Staff from the CDC Division of STD Prevention Training and Health Communications Branch who also contributed to the development of the content on partner management include Frankie Barnes, MPH, Health Education Specialist; Stacy Harper, Public Health Advisor; Bruce Heath, Public Health Advisor; Jerry Shirah, Public Health Advisor; and, Duane Wilmot, Public Health Advisor.

Disclosure:

The authors of this case report no financial interests or other relationships with the manufacture of commercial products, providers of commercial services, or commercial supporters. This training will not include any discussion of the unlabeled use of commercial products or products for investigational use.

Content Expert Reviewers:

• Sharon Adler, MD, MPH, Clinical Instructor, California STD/HIV Prevention Training Center
• Heidi Bauer, MD, MS, MPH, Chief, Office of Medical and Scientific Affairs, STD Control Branch, California Department of Health Services, California STD/HIV Prevention Training Center
• Gail Bolan, MD, Chief, STD Control Branch, California Department of Health Services and Medical Director, California STD/HIV Prevention Training Center
• Charles L. Heaton, MD, Professor of Dermatology, University of Cincinnati College of Medicine and Medical Director, Cincinnati STD/HIV Prevention Training Center
• Sylvie Ratelle, MD, MPH, Medical Director, Division of STD Prevention, Massachusetts Department of Public Health, Medical Director of the STD/HIV Prevention Training Center of New England and Assistant Professor of Family Medicine and Community Health, University of Massachusetts Medical School
• John Toney, MD, Associate Professor of Medicine, University of South Florida College of Medicine and Medical Director, Florida STD/HIV Prevention Training Center

Project Management:

Seattle STD/HIV Prevention Training Center,
University of Washington

Online Course Design and Programming:

Henry Sobel, President, Huge Media, Berkeley, California

Project Funding:

California STD/HIV Prevention Training Center, California Department of Health Services

New England STD/HIV Prevention Training Center, Massachusetts Department of Public Health

Seattle STD/HIV Prevention Training Center, University of Washington

This project was made possible through funding by the Centers for Disease Control and Prevention.