Previously healthy 57yo woman comes in 2 month history of vulvar itching. otherwise asymptomatic takes no meds. menopause occurred 7 years prior. not bee sexually active for 10 years. exam shows a 1x1.5cm ulcerated lesion in inner right labium majus surrounded by mild erythema. no other lesions noted. no inguinal adenopathy. diagnosis?

i think it's the first one because doctors aren't the ones who get rid of the old needles. most of them time it's not even doctors who give you shots, it's nurses.

ground wouldnt be clean and the soap wouldnt be dirty

this disease is :

* endemic (present in a defined area that is a village)

* a bacterial infection (treated with antibiotic)

* communicable by contact (by the hands)

manu-porterage is the most common mode of transmission, it transmits germs from one individual to another via the hands. this concerns infections of exogenous origin.

endemic disease, or endemic disease, refers to a disease that is constantly present in a given population, often tied to a specific geographic origin, as opposed to a pandemic that is not a sporadic disease.

antibiotics are molecules that have the property of killing (bactericidal) or limiting the spread (bacteriostatic) of bacteria.