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Syphilis Rash on Palms and Soles

#Syphilis #Rash #Palms #Soles #clinical #dermatology #skin #secondary #PhysicalExam
Syphilis Rash on ... and Soles #Syphilis ... #dermatology #skin ... #secondary #PhysicalExam
Genital Skin Ulcers - Differential Diagnosis Algorithm
Painful:
 • Herpes simplex
 • Haemophilus ducreyi (chancroid)
 • Behcet's
Genital Skin Ulcers ... Differential Diagnosis Algorithm ... Painless: • Primary syphilis ... (chancre) • Granuloma ... Differential #Diagnosis #Algorithm
Natural History of Syphilis
Primary - 2-6 weeks after infection
 • Chancre, Regional lymphadenopathy
Early Latent ≤ 1
Natural History of Syphilis ... after infection • Chancre ... after primary syphilis ... (10%); Ocular syphilis ... ; Otic syphilis;
Stages of Syphilis
Early Primary:
 • Painless chancre
 • Regional lymphadenopathy
Early Secondary:
 • Fever, malaise
 • Rash
Stages of Syphilis ... Primary: • Painless chancre ... • Gummatous • Nodular ... lesions in bone, skin ... BostonChiefs #Syphilis
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
The Stages of Syphilis ... - The chancre ... Without treatment, chancre ... - Ocular syphilis ... granuIomas on skin
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
Ulcerates to produce a chancre ... months after the chancre ... weight loss • Skin ... Symmetric macular ... Headache, meningitis, ocular
Differential diagnosis of Skin + Eye infections
 • Bacterial: Staph spp, Strep spp, Pseudomonas spp, Bartonella,
Differential diagnosis of Skin ... N. gonorrhea, Syphilis ... febrilepodcast] #skin ... #eye #ocular #dermatology
Central Distribution, Febrile / Ill:
 - Viral Exanthem 
 - Lyme Disease (erythema migrans) 
Central Distribution,
meningococcaemia - Syphilis ... Maculopapular #Macular ... Papules #Rash #Algorithm ... #Dermatology #Skin
Causes of Localized Lymphadenopathy - Differential Diagnosis Algorithm
Cervical:
 - Anterior
     • Infection
Differential Diagnosis Algorithm ... , Breast) • Cancer ... • Secondary Syphilis ... Infection • Cancer ... Differential #Diagnosis #Algorithm
Skin Ulcers of the Lower Legs / Feet - Differential Diagnosis Algorithm
Physical:
• Pressure
• Trauma
• Radiation
Vascular:
• Arterial
Skin Ulcers of the ... Differential Diagnosis Algorithm ... Tabes dorsalis (syphilis ... Differential #Diagnosis #Algorithm