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A 27-Year-Old Man Comes to the Office Due to a 2-Week

question 444

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A 27-year-old man comes to the office due to a 2-week history of genital papules that are not painful or pruritic. Over this period, he has also had fatigue and mild, generalized arthralgia but no urethral discharge or dysuria. The patient had gonococcal urethritis 3 months ago, which was adequately treated, and tests for other sexually transmitted infections at that time were negative. He is sexually active with several male and female partners and reports using condoms consistently after the episode of gonorrhea. Temperature is 37.6 C (99.6 F) . Physical examination shows a faint, diffuse maculopapular skin rash involving the trunk, extremities, palms, and soles. There are several enlarged, nontender inguinal lymph nodes. Genital examination reveals multiple elevated lesions on the scrotum and perineal region. Histopathologic evaluation of these lesions would most likely reveal which of the following in this patient?

Definitions:

Long-term Changes

Pertains to alterations or developments that occur over an extended period, often analyzed in various fields such as environmental science, economics, and social studies to assess trends or impacts.

Clients' Functioning

Refers to the effectiveness and well-being of individuals receiving services in various domains, including social, psychological, and physical aspects.

Qualitative Counseling

A therapeutic approach focusing on understanding clients' experiences and perspectives through open-ended dialogue and interpretation.

Quantitative Studies

Research methods focusing on numerical data to quantify relationships, patterns, or trends.