Your findings upon palpation and inspection of a patient's labia include an area of tenderness, swelling, redness, and purulent discharge, which most likely indicate
a. Bartholin's gland infection.
b. infected chancre of primary syphilis.
c. infection of the urethra and Skene's glands.
d. rupture of genital herpes vesicles.
A
Bartholin's gland infection is generally caused by gonococci, Chlamydia trachomatis, and syphilis. Swelling, redness, induration, or purulent discharge from the labial folds with hot, tender areas indicate an infection. An infected chancre of primary syphilis is a round ulcer with a depressed center, and it will be on the mons pubis or vulva. The urethra and Skene's glands lie within the labial folds. Genital herpes is indicated by small, swollen, red vesicles that appear on the mons pubis or vulva.
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