6 - STD Flashcards
How many weeks after contact does Primary Syphilis occur?
3 weeks
What develops in Primary Syphilis, at the site of primary contact as an indurated, painless ulcer; heals spontaneously a few weeks later?
Chancre
How many weeks later does Secondary Syphilis occur?
2-10 weeks later
In Secondary Syphilis what rash covers the body including the palms and soles?
Maculopapular Rash
In Secondary Syphilis what appears as elevated genital red-brown plaques?
Condyloma latum
In Secondary Syphilis what develops in the oral cavity; most contagious lesion of Syphilis?
Mucous patch
In Secondary Syphilis where is Lymphadenopathy especially found?
antecubital fossa
Tertiary Syphilis develops after a latent period of how many years?
5-20 years
In Tertiary Syphilis, what appears as an area of caseous-like necrosis in any organ especially palate and mid face?
Gumma
In Tertiary Syphilis, what is a thoracic aortic aneurysm due to scarred media (tiny gammas in media of bf’s)?
Syphilitic aortitis
In Tertiary Syphilis, what appears as huge cardiomegaly?
Cor bovinum
In Tertiary Syphilis, what appears as dementia?
General paresis
In Tertiary Syphilis, what appears as damage to the dorsal root ganglia and causes loss of proprioception and Charcot joint?
Tabes dorsalis
In Tertiary Syphilis, what appears as the dorsal surface of tongue becoming white, atrophic and bald and fissured; due to OE?
Interstitial Glossitis
What is the positive test for Primary Syphilis, which is nonspecific in the oral cavity?
Darkfield Exam
The Histology of Primary Syphilis shows …, via … Stain ?
Obliterative Endarteritis and Positive Warthin-Starry (silver) Stain
What causes Tertiary Syphilis - Interstitial Glossitis?
Obliterative Endarteritis and Healed Gummas
What is the Serology of secondary Syphilis?
VDRL and FTA + (can get false + and false -)
What is the Serology of Tertiary Syphilis?
VDRL = - FTA = +
What is the treatment for Syphilis?
penicillin
What is the Hutchinson Triad of Congenital Syphilis?
- Hypoplasia of CI and 1st molars
- Interstitial keratitis (affects cornea)
- 8th nerve deafness
What is a sign of Congenital Syphilis as radiating scars around lips?
Rhagades
What are the results of an Acute Gonorrhea in men?
urethritis (2-7 days), orchitis, epididymitis, prostatitis
What are the results of an Acute Gonorrhea in women?
more serious than in men; saplings, PID, sterility
What is the treatment for Gonorrhea?
Cephalosporin (with azithromycin or doxycycline)
What indicates sexual abuse if seen in children; usually caused by fellatio?
Gonococcal pharyngitis/stomatitis
What is transmission of Granuloma inguinale associated with?
multiple sexual partners
What does Lymphogranuloma venerum present as?
colitis
What is the most common STD in the world?
NGU
How do you differentiate Gonorrhea from NGU?
Gram stain of NGU has no organisms
What is the treatment for NGU?
azithromycin or doxycycline
What presents as veneral warts on penis, vulva, perianal; multiple oral lesions (1-1.5cm)?
Condyloma accuminatum
Diagnostic for HPV = clear cells with shrunken/raised nuclei called … = virally infected
koilocytes
What is Scabies caused by?
Type 3 Delayed Hypersensitivity Rxn = Pruritic (itchy)
