J.R. is a 36-year-old white middle-class woman who has been sexually active with one partner for the past 2 years. She and her partner have no history of STIs but her partner has a history of fever blisters. She reports genital pain genital vesicles and ulcers and fever and malaise for the last 3 days. Examination reveals adenopathy and vaginal and cervical lesions.

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