Bacterial Flashcards
Typical hunterian chancre of primary shypillis
Single Painless Regular indurated Erythematous plaque which ulcerates Ulcer has clean floor
Lymphadenopathy: inguinal , multiple , small, firm , nontender
Cutaneous lesions of secondry shypillis
Its a systemic disease
Rash: may have any morphology( macular , papular , nodular)
Condylomata lata
Mucosal lesions
Lymphadenopathy: symmetrical, nontender, generalised ( l.n. like suboccipetal and epitrochlear may also be involved)
Manifestations of tertiary syphillis
Gummatous ds(prototypic lesion : form of granuloma)
SKIN nodular gummata
MUCOSAE gumma
MUSCULOSKELETAL
osteitis
Periostitis
NERVOUS
Meningeal
Parenchymatous
CVS
Aortitis
Aneurysm
Coronary stenosis
LIVER
Hepatic gummata
Manifestations of congenital syphillis
Any type of skin lesion Rhinitis Saddle nose Pharyngitis , laryngitis Epiphysitis(pseudoparalysis of parrot) Periostitis Dactylitis Cluttons joint Hepatosplenomegaly Generalised lymphadenopathy Cns Ocular
Hutchinson triad: notched in incisors , interstial keratitis , SNHL
Saber shin
Chancroid / soft sore
Multiple Superficial Tender Nonindurated Undermined , irregular edges Base : purulent , bleeds easily
Inguinal bubo: tender , may suppurate , usually unilateral
Gram stain : school of fish , rail track appearance
Donovanosis
Variable no
Floor is beefy , velvety ,exuberant granulation tissue which bleeds on touch
Edge : elevated, irregular
Pseudobuboes: subcutaneous swellings in inguinal region
Pseudobubo seen in
Donovanosis
Granuloma inguinale / venerum
Donovanosis
Gram stain of donovanosis
Donovan bodies
Rod shaped cell in cytoplasm of mononuclear / macrophages
LGV
Present of transient primary genital lesion often not noticed
Lymphadenopathy: tender ,may suppurate ,usually unilateral Groove sign (both inguinal and femoral nodes are enlarged and are separated by inguinal ligament)
School of fish appearance
H.ducryie
On gram staining
Genital herpes
HSV1 /2
Painful grouped small vesicles Surrounded by zone of erythema Rupture to form ulcers often with polycyclic margins
Tender , bilateral lymphadenopathy
Genital ulcers caused by
Sypllis Herpes Chancroid LGV Donovanosis
