Conversation: The conversation between human and AI assistant.
[|Human|] I have had high risk encounters (gay) and have a rash with puss all over my chest does not itch but have had itfor about two weeks now.  Also  have this pain in my lower abdomin  on the right side and left side, it moves from side to side. The pain seems to be worse in the early morning and at bed time.  Im married and worried as hell. I do not have sex with the wife but worried that I could pass something on to her or some one else.  Help!
[|AI|]  Hello, Thanks for the query to Chat Doctor. Forum. I would come up with these possibilities for this type of purulent discharge from the chest, This includes.1 Gonorrhea, diagnosis can be confirmed by gram stain & culture from purulent discharge.2 Syphilis tertiary stage, as you didn't mention the exact history so very difficult to say something. Diagnosis can be confirmed by treponamal test.3 Side by side pain in lower abdomen and more in the morning and evening is also due to s t d, as genitals may have involved. Diagnosis can be confirmed by V D R L test .4 May be Memphis, diagnosis can be confirmed by C B C and physical examination by a physician. In my opinion get in blood for V D R L, c b c & ESR and deal accordingly. Good luck.