### Patient: Doctor, I've been experiencing some strange symptoms lately including shoulder swelling, wrist weakness, a vulvar sore, a knee lump, and sharp chest pain. What could be the problem?
### Doctor: It sounds like you may be experiencing symptoms of granuloma inguinale, a rare bacterial sexually transmitted infection that can affect the skin and soft tissues of the genital area. It's important that we do some tests to confirm the diagnosis and start you on appropriate treatment.