| The Basics | GUD KEY WORDS | Famous faces of Syphilis | Do you have syphilis? | No, the answer is not arsenic |
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What are HSV and Chancroid (Haemophilus ducreyi)
We are the painful genital ulcers.
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What is Syphilis
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single, painless, heaped up borders with clean base
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Who is Leo Tolstoy
The author of this book
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What is Yes
-early -RPR/FTA may be negative -no darkfield for oral lesions (nonpathogenic treponemes in your mouth)
Female with unprotected vaginal and oral sex 3 weeks ago with a painless ulcer on her vulva and on her soft palate. Heaped up borders. Clean base.
(-) RPR, (-) FTA, darkfield of oral ulcer (-) |
What is penicillin G 2,4 MU IM X 1
A pregnant woman is diagnosed with primary syphilis and has a history of anaphylaxis to penicillin. This is the treatment of choice.
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What are
Syphilis LGV (but the LAD hurts) Granuloma Inguinale (Donovanosis, Klebsiella granulomatosis)
We are the painless genital ulcers.
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what is HSV
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multiple, painful, superficial, vesicular or ulcerative with erythematous base
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Napoleon Bonaparte
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What is NO
False (+) RPR: old, pregnant, autoimmnune, viral infection
(+) RPR/(-) FTA
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What is doxycyline 100mg po BID X 14 days.
A 22 yo male presents with a macular/papular rash, low grade fevers, malaise, and hair loss. RPR (+), FTA (+). He reports anaphylaxis to penicillin. This is the treatment of choice.
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What is Chlamydia trachomatis L1-L3
I am the organism that causes Lymphogranuloma venereum (LGV).
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What is chancroid
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painful, indurated, ragged ulcers and tender suppurative inguinal adenopathy, kissing lesions on thigh
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Howard Hughes
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What is No
-false positive treponemal-specific ab tests (LYME)
(+) EIA/(-) RPR/(-) FTA
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What is
aqueous crystalline penicillin G 18-24 MU daily for 10-14 days procaine penicillin 2.4 MU IM daily plus probenecid 500mg po QID for 10-14 days 2nd line Ceftriaxone 2gm IM or IV X 10-14 days
A 20 yo male with macular/papular rash, low grade fevers, malaise, hair loss, and headache, photophobia and uveitis. RPR (+), FTA (+), CSF VDRL (+),
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What is HSV
primary (up to 50% are HSV 1) Recurrent (usually HSV 2)
I am the most common cause of genital ulcers in the US.
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Granuloma Inguinale
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painless, progressive (destructive), serpigionous ulcerative lesions, without regional LAD, beefy red with white border and highly vascular
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Edouard Manet
The painter of this painting
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What is YES
this is either prior adequately treated or prior unadequately treated or early before the RPR turned (+).
(+) EIA/(-) RPR/(+) FTA
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What is Benzathine penicillin G 2.4 MU IM X 1
(Early latent <1 year)
A 23 yo asymptomatic male presents for routine STD screening. His RPR is (+) at 1: 16, FTA (+).
Last RPR (or FTA) was negative 6 months ago. |
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What is True
True or False:
The CDC recommends treatment of all primary episodes of genital HSV. |
LGV
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Short lived painless ulcer accompanied by painful suppurative inguinal LAD; "groove sign
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Al Capone
The man responsible for this carnage
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What is NO
(+) VDRL in CSF/(-) RPR/(-) FTA
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What is Benzathine penicillin G 2.4 MU IM q7 days X 3 doses.
Late Latent or Syphilis of unknown duration
A 26 yo asymptomatic male presents for routine STD screening.
His RPR is positive at 1:32, FTA (+). States prior testing was negative but does not know date and was done in another state. Has frequent sexual partners. |
