DXN Code Strike inside the anus it is not visible therefore the person may not ever know it was there however in secondary syphilis you can get a rash on the palms soles of the feet and on the chest so it is important to woman declined to speculate examination there are other ways for you to collect your specimens the same is also true of men if they do not want a prop Tosca be if they've had receptive anal sex it is permissible to do blind swabs it's not considered gold standard by many places however what is important is that you follow the needs and the wishes of your patient bearing in mind that you collect enough samples to provide you with a useful outcome once the specimens have been connected it is important that the patient is offered