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! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Stage of syphilis}}
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Stage of syphilis}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Physical Examination}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|History and symptoms}}
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''Primary syphilis'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''Primary syphilis'''
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*  
*Onset within 3 weeks of contact
*
 
*
*[[Chancre]]:
*
:*Rapidly progresses an ulcerated, indurated lesion
:*Single painless firm raised papule
:*Usually located on the [[glans penis]], [[cervix]], [[labia]], anal canal, [[rectum]] or [[oral cavity]]
 
*Regional [[lymphadenopathy]]
 
*Heals spontaneously within 4-6 weeks; however, regional lymphadenopathy may persist for longer periods.
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" |'''Secondary syphilis'''
| style="padding: 5px 5px; background: #DCDCDC;" |'''Secondary syphilis'''
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*
*Develops 6-8 weeks after the appearance of primary [[chancre]]
*  
*Generalized systemic symptoms such as [[malaise]], [[fatigue]], [[headache]] and [[fever]] may be present.
*
*Skin eruptions may be subtle and asymptomatic
*
*Classic:
*
:*Non-pruritic bilateral symmetrical mucocutaneous rash
:*Non-tender regional [[lymphadenopathy]]
:*Condylomata lata
:*Patchy [[alopecia]]
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''Latent syphilis'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''Latent syphilis'''
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*
*Previous history of chancre or rash
*Asymptomatic
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''Tertiary syphilis'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''Tertiary syphilis'''
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*Clinical manifestation of this stage depends on organ system involved:
'''''Neurosyphilis'''''
*[[Altered mental status]]
*[[Dementia]]
*Focal neurodeficit affecting hearing and vision
'''''Cardiovascular syphilis'''''
*
*
*
'''''Gummatous lesions'''''
*
*
*   
*   
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Revision as of 21:13, 27 September 2016

Aysha's sandbox

Stage of syphilis History and symptoms
Primary syphilis
  • Onset within 3 weeks of contact
  • Heals spontaneously within 4-6 weeks; however, regional lymphadenopathy may persist for longer periods.
Secondary syphilis
  • Develops 6-8 weeks after the appearance of primary chancre
  • Generalized systemic symptoms such as malaise, fatigue, headache and fever may be present.
  • Skin eruptions may be subtle and asymptomatic
  • Classic:
  • Non-pruritic bilateral symmetrical mucocutaneous rash
  • Non-tender regional lymphadenopathy
  • Condylomata lata
  • Patchy alopecia
Latent syphilis
  • Previous history of chancre or rash
  • Asymptomatic
Tertiary syphilis
  • Clinical manifestation of this stage depends on organ system involved:

Neurosyphilis

Cardiovascular syphilis

Gummatous lesions