10 results
Stages of Syphilis
Early Primary:
 • Painless chancre
 • Regional lymphadenopathy
Early Secondary:
 • Fever, malaise
 • Rash
Stages of Syphilis ... Early Primary: ... lymphadenopathy Early Secondary ... Fever, malaise • Rash ... lesions in bone, skin
Natural History of Syphilis
Primary - 2-6 weeks after infection
 • Chancre, Regional lymphadenopathy
Early Latent ≤ 1
History of Syphilis Primary ... • Asymptomatic Secondary ... 2 months after primary ... syphilis • Rash ... progression #diagnosis #stages
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
- Rash, pink ... rashes, including tinea-mimicker ... to asymptomatic infection ... granuIomas on skin ... #Primary #Secondary
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Rash Secondary ... Skin rash and malaise ... treatment, the infection ... and late stages ... #Clinical #Photo
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Abnormalities in primary ... or secondary hemostasis ... - Trauma - Infection ... RMSF - Henoch Schonlein ... cryoglobulins • Skin
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
the ED with a rash ... Mom states that ... the patient had ... upper respiratory infection ... SSSS #Clinical #Photo
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
treatment. 2) Secondary ... weight loss • Skin ... : Rash is the most ... , secondary and ... #Syphilis #stages
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Purpura Fulminans Skin ... nausea. 2hrs later ... purpura fulminans secondary ... - BIDMC Infectious ... #photo
Necrotizing Fasciitis: African-American patient with diabetes that predisposed him to rapidly 
progressive infection. Lower extremity is
African-American patient ... less apparent secondary ... occurs deep to the skin ... Catalog of Clinical Images ... #Clinical #Photo
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
Terry's Nails Patient ... infections so he ... spider angiomas and skin ... this finding is secondary ... PhysicalExam #Clinical #Photo