syphilis

Question 1

conginital

5 signs

Answer 1

I. Hutchinson’s teeth - notched permanent upper incisors 2.Rhagades- fissuresorcracksatedgeofmouth
3. Saddle nose deformity - bridge ofnose flattened
4. Sabre blade tibia
5. Interstitialkeratitis- produces visual changes.
Deafness can also be associated, but not always

Question 2

Acquired “3” stages. organism = Treponema pallidum

Answer 2

primary - hard singular painless nodule (chancre) on perineum
secondary - maculopapular rash and condylomata lata (flat warts on the vulva)
latency - may or may not have symptoms
tertiary - tabes dorsalis, aortic aneurysm, gummas inclusion body in CNS
argyll roberston pupuil, aka prostitute’s pupil, not react to light, but constricts on accommodation

Question 3

tonic pupi dilation (Mydriasis) clue to injury to CNIII Edinger Westphal nucleus.

Answer 3

Adie’s pupil

Question 4

Tonic u ii constriction due to injury to sympathetic cervical gangila

Answer 4

miosis