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Case (1)S A young patient was complaining of a single hard painless ulcer around his mouth .

Case (1)S A young patient was complaining of a single hard painless ulcer around his mouth .

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Case (1)S A young patient was complaining of a single hard painless ulcer around his mouth .

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  1. Case (1)S • A young patient was complaining of a single hard painless ulcer around his mouth . • After examination doctor noticed that all his vital signs were normal, but he decided to take serous fluids from this ulcer for microscopical examination and blood sample for serological tests .

  2. Case (1)S • A single hard painless ulcer around his mouth .

  3. Case (1)S Serous fluids from this ulcer was stained by fontana showing spiral organism

  4. Case (1)S Questions : • What is your provisional diagnosis? • Name the stage in this patient, and justify? • What is the most likely causative organism of this disease ? • Describe the confirmatory tests of this disease?

  5. Case (1)S • If the previous patient developed skin rashes, loss of hair, fever and malaise . 5- Which stage of the disease is this? 6-When does this stage occur ?

  6. Case (1)S • If the previous patient had large degenerative lesions on his skin . 7- What is the possible stage of the disease and what are the lesions called?

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