Sandbox:AA

Aysha's sandbox

Stage of syphilis	Physical Examination	Images
Primary syphilis	Mucopurulent urethral discharge Bull-headed clap (penile edema) Unilateral epididymal tenderness and edema (epididymitis) Sign of urethral stricture Periurethral abscesses
Secondary syphilis	Mucopurulent uretral, cervical or vaginal discharge Positive cervical motion tenderness Friable cervical mucosa Abdominal pain with negative rebound tenderness Lower abdominal pain (consistent with PID) Right upper quadrant pain (Fitz-Hugh-Curtis syndrome) Labial edema and Bartholin’s gland enlargement and tenderness (Bartholinitis)
Latent syphilis	Anal mucopurulent discharge Anorectal tenderness Anorectal bleeding
Tertiary syphilis	Pharyngeal exudates Cervical lymphadenitis