1. What is the diagnosis?

2. How would you confirm this?

3. What else would you want to know from him in the history?

4. Where next?

Further information:

Medline plus
http://www.nlm.nih.gov/medlineplus/ency/article/000854.htm

Patient UK
http://www.patient.co.uk/showdoc/23069198/

Wikipedia
http://en.wikipedia.org/wiki/Syphilis