History of Present Illness: This 23 year old patient had and episode of bleeding two weeks ago. He was sitting on a bar stool when he noticed bleeding from the tip of the penis. The volume of blood loss left a quarter sized hemorrhagic spot in his clothing. The lesion bled slightly later that evening.
Past Medical History: His past medical history is non-contributory.
Medications: The patient was on no medications at the time including previous consumption of NSAID's in the week preceding the incident.
Click on the image for magnification
Total body skin examination demonstrated a 4 mm friable, clear papule at the orifice of the urethra. Blood vessels are visible in the lesion.
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