So I saw a 21 year old AA male with a painless penile lesion. He noticed it the night before. No symptoms of any kind. Only medical history is previously treated GC. No trauma The lesion is about 1 x 1 cm, red, flat, with a small abrasion in the center. He said it was bleeding early that day. No penile discharge. No testicular tenderness. No palpable nodes. Any thoughts? Oh yeah, and his RPR is negative.