Review Note

Last Update: 01/07/2024 12:51 PM

Current Deck: Tropical Med::STIs - syndromic approach

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Text
  1. genital ulcers - Syphilis 
    1. Diagnosis - 
      1. {{c1::
      2. dark field microscopy
      3. Serology - TPPA/TPHA positive, RPR/VDRL for response to treatment or reinfection
      4. }}
    2. Treatment - 
      1. {{c2::Penicillin G IM (latent 1 dose, tertiary 3 doses)}}
      2. Neurosyphilis - {{c2::IV or IM penicillin }}
      3. Risk of the {{c3::Jarisch Herxheimer}} reaction (common but not serious, causes fever, headache, myalgia and HTN, manage symptoms)

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