A 6-year-old girl is brought to the emergency department. Upon assessment of the patient, the nurse finds swollen, tender buboes and enlarged genitalia. The nurse understands that these findings are consistent with
a. gonorrhea.
b. bubonic plague.
c. syphilis.
d. lymphogranuloma venereum.
ANS: D
Swollen, tender buboes and enlarged genitalia are consistent with lymphogranuloma venereum.
Signs and symptoms of gonorrhea range from mild cervicitis to burning upon urination, cutaneous lesions, and others.
Nothing indicates that this child has been exposed to bubonic plague, which is not typically (if ever) seen in the United States.
Syphilis manifests in various stages; chancres develop, and nearby lymph nodes may become swollen. However enlarged genitalia is not a symptom.
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