### Patient: Doctor, I have been having some symptoms lately. I had a nosebleed, and I have a lump on my knee. Additionally, I noticed a sore on my vulva and I have been experiencing chills. What could be causing all of this?
### Doctor: Based on your symptoms, it is possible that you have lymphogranuloma venereum. This is a bacterial infection that is transmitted through sexual contact. I recommend that you get tested and treated as soon as possible to prevent any complications.