Syphilis

Question 0

Primary

Answer 0

Painless chancre in 3-40 days
Regional lymphadenopathy
Chancre lasts 2-6 wks, then resolves
Tx- benzathine penicillin G 2.4 MU IM

Question 1

Syphilis

Answer 1

Primary
Secondary
Latent
Tertiary

Question 2

Secondary

Answer 2

2 m after infection
Rash: "great imitator"
- Nickels and dimes
- "Ham-colored" macules
Resolves in 3-12 wks

Question 3

Latent

Answer 3

Serology positive

No signs and symptoms

Question 4

Tertiary

Answer 4

CNS involvement 
Aortitis
Tabes dorsalis
Argyll Robertson pupil
Gummas - skin findings
Tx- PCN G