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clinical rash differential skin algorithm skinrash secondary stages cutaneous physicalexam causes eschar gangrenosum maculopapular nejm primary pustular pyoderma soles ulcerative
Natural History of Syphilis Primary - 2-6 weeks after infection • Chancre, Regional lymphadenopathy Early Latent ≤ 1
Natural History of Syphilis ... Early Latent ≤ 1 year ... lymphadenopathy, Mucosal lesions ... Late Latent - > 1 year ... #progression #diagnosis
Christmas Tree Rash of Pityriasis rosea - small oval scaling patches - Christmas tree pattern -
- long axis of lesion ... - Differential diagnosis ... : secondary syphilis ... rosea #clinical #dermatology ... #photo #PhysicalExam
Janeway Lesions in Endocarditis seen on Physical Exam Dr Supradip Ghosh @dr_supradip 36 year old male with history
dr_supradip 36 year ... sister shared these photos ... could have been diagnosed ... PhysicalExam #clinical #photo ... #dermatology #soles
Primary Syphilis Usually, a single ulcer (chancre) appears at the site where the bacteria entered the body.
Sometimes, lymph nodes near ... ▪ Painless lesion ... weeks ▪ Multiple lesions ... #Chancres #Diagnosis ... #Clinical #Photo
Stages of Syphilis Early Primary: • Painless chancre • Regional lymphadenopathy Early Secondary: • Fever, malaise • Rash
Stages of Syphilis ... • Within first year ... Gummatous • Nodular lesions ... BostonChiefs #Syphilis ... symptoms #signs #diagnosis
The Stages of Syphilis Primary Syphilis - The chancre lesion is the hallmark of primary syphilis.
- The chancre lesion ... - Oral lesions ... heaped-up wart-like lesions ... within the last year ... Latent #Tertiary #Diagnosis
Chondrodermatitis nodularis - Scaly papule on ear, usually helix - Painful, especially when sleeping
Scaly papule on ear ... changes to the ear ... Chondrodermatitis #Nodularis #Dermatology ... #Diagnosis #Benign ... #Clinical #Photo
Central Distribution, Febrile / Ill: - Viral Exanthem - Lyme Disease (erythema migrans) Central Distribution,
/ Ill, Target Lesions ... Ill, No Target Lesions ... meningococcaemia - Syphilis ... Rash #Algorithm #Diagnosis ... #Dermatology #Skin
Secondary Syphilis Rash Secondary syphilis is the most contagious of all the stages of this disease, and
Secondary Syphilis ... heaped, wart-like lesions—Condyloma ... #Rash #Diagnosis ... #Clinical #Photo ... #Dermatology
Genital Lesions - Differential Diagnosis Algorithm Elevated - Vesicles: • Herpes simplex Elevated - Papules / Plaques -
Genital Lesions ... - Differential Diagnosis ... • Secondary Syphilis ... #skinlesions #dermatology ... #Differential #Diagnosis
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