Syphilis - Diagnosis and Management - Primary vs Secondary ...
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Syphilis - Diagnosis and Management - Primary vs Secondary vs Tertiary

Primary Syphilis

 • Localized lymphadenopathy

 • Chancres

Secondary Syphilis

 • Headaches

 • Uveitis, retinitis, optic neuritis, cranial nerve palsies

 • Hepatitis

 • Lymphadenopathy

 • Glomerulonephritis

 • Periostitis

Tertiary Syphilis

 • Neurosyphilis (NS) if CSF shows:

    - Pleiocytosis > 20 cells/mm3

    - Hyperproteinorachia

    - Positive VDRL (Se 30-40%)

    - Negative treponemal tests rule out NS

 • General paresis :

    - Cognitive impairment

    - Psychiatric manifestations

    - Focal deficits

 • Tabes dorsalis

 • Aortic aneurysms ± valvular insufficiency

 • Coronary ostium stenosis



by Dr. Maxime Beydon via via Dr. Benjamin Terrier @TerrierBen



#Syphilis #Primary #Secondary #Tertiary #Comparison #Diagnosis #Management #stages #staging
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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