--Inspection of skin with particular attention to hands, palms, forearms, lower abdomen and thighs searching for rashes including the rash of secondary syphilis.

--Inspection of oral cavity if history of receptive oral sex is elicited.

--Abdominal exam searching for evidence of an inflammatory process.

--Palpation of inguinal and femoral regions to detect lymphadenopathy.

--Inspection of external genitalia and perianal areas for evidence of ulcerative lesions (herpes, primary syphilis, chancroid), genital warts, and ectoparasites such as pubic lice and scabies.

--Speculum exam with attention to cervical os.

--Bimanual pelvic exam searching for cervical motion tenderness, uterine tenderness, and adnexal masses.