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24 Cards in this Set

  • Front
  • Back
Syphilis incubation stage - duration
3 wks
Syphilis incubation stage - clinical setting
no lesion - treponemes adhere + penetrate epithelium - multiplying + disseminate
Syphilis incubation stage - diagnosis
asymptomatic phase
Syphilis incubation stage - treatment
n/a
Syphilis primary stage - duration
2-6 wks
Syphilis primary stage - clinical setting
initial appearance of chancre at innoculation site - intense treponemal activity in body - chancre later disappears
Syphilis primary stage - diagnosis
dark-field microscopy - VDRL - FTA-ABS - MHA-TP testing
Syphilis primary stage - treatment
Benzathine PCN G 2x10⁶ units - aqueous benzyl or procaine PCN G 4.8x10⁶ units
Syphilis primary latency stage - duration
2-8 wks
Syphilis primary latency stage - clinical setting
healed chancre - little scarring - treponemes in blood - few if any symptoms
Syphilis primary latency stage - diagnosis
serological test (+)
Syphilis primary latency stage - treatment
Benzathine PCN G 2x10⁶ units - aqueous benzyl or procaine PCN G 4.8x10⁶ units
Syphilis secondary stage - duration
2-6 wks after chancre leaves
Syphilis secondary stage - clinical setting
skin - mucous membrane lesions - hair loss - patient highly infectious - fever - lymphadenopathy - symptoms can persist for months
Syphilis secondary stage - diagnosis
dark-field testing of lesions - serological tests (+)
Syphilis secondary stage - treatment
double doses of (Benzathine PCN G 2x10⁶ units - aqueous benzyl or procaine PCN G 4.8x10⁶ units)
Syphilis latency stage - duration
6 months to 8 or more years
Syphilis latency stage - clinical setting
treponemes quiescent unless relapse occurs - lesions can reappear
Syphilis latency stage - diagnosis
seropositive blood test
Syphilis latency stage - treatment
Benzathine PCN G 2x10⁶ units - aqueous benzyl or procaine PCN G 4.8x10⁶ units
Syphilis tertiary stage - duration
variable up to 20 years
Syphilis tertiary stage - clinical setting
neural, cardiovascular symptoms - gummas develop in organs - seropositivity
Syphilis tertiary stage - diagnosis
treponeme may be demonstrated by DNA analysis of tissue
Syphilis tertiary stage - treatment
Benzathine PCN G 2x10⁶ units - aqueous benzyl or procaine PCN G 4.8x10⁶ units