35 results
Recommended Follow-up of Treated Syphilis Cases

EVIDENCE OF TREATMENT FAILURE OR POSSIBLE REINFECTION
• Persistence or recurrence of
Cases EVIDENCE ... recurrence of signs ... and symptoms • ... development of signs ... and symptoms
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
gummas in Tertiary syphilis ... treated, in most cases ... Without treatment ... though there are no signs ... or symptoms.
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
suspected: • Signs ... and symptoms of ... unresponsive to treatment ... discernable cause • Signs ... microscopic colitis Differential
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
stages of this disease ... The signs and symptoms ... with or without treatment ... , but without treatment ... late stages of disease
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
patients with tabes ... associated with syphilis ... test (Romberg's sign ... Observe when patient closes ... • Cerebellar disease
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Vertigo - Differential ... vomiting, auditory symptoms ... • Meniere's Disease ... Imbalance, neurologic symptoms ... /signs, bidirectional
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
responsible for most cases ... meningovascular disease ... Coronary artery disease ... General paresis and tabes ... infected without symptoms
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... T waves - starts ... triple vessel disease ... Interpretation #differential
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... soles in 50% of cases ... exposure to or symptoms ... Tabes dorsalis damages ... of Infectious Diseases
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
workup for specific symptoms ... glucocorticoid treatment ... organ-specific signs ... or symptoms (eg ... Disorders #Algorithm #Differential