Tuesday, May 17, 2011

Clinical symptoms of the syphilis

 Clinical symptoms of the syphilis

Syphilis first period includes a chancre and lymph nodes:
Chancre: survival period chancre 3-8 weeks, average 6 weeks. Better treatment of patients completely healed, if not treated well chancre disappears.
Chancre characteristics:

- The traces of agricultural suddenly lost a part of the epidermis only.

- The regular round or oval.

- No typing up or concave down.

- flat surface.

- Red meat.

- Background thin solid sheet of cardboard, is the most important symptom.

- No itching, no pain, no pus.

- Always accompanied by lymph surrounding areas.

Location of the chancre:

- The vast majority of the genitals, where the spiral bacteria enter the body.

- In men, grooves circumcision, penis, urethra hole, the first pouch, the urethritis.

- In women: large lips, her lips, vulva, clitoris, urethra hole, the cervix.

- You can see lesions in the lips, tongue, almond, fingers, eyelids, anal sex due to irregularities.

Clinical forms of atypical:

- Chancre ulcer: not a trace that is suddenly down deep ulcer mesoderm.

- Chancre diphtheria form: a white film covering, usually almonds.

- Chancre scales.

- Chancre coordination between syphilis chancre and low commitment. The first phase soft, hard chancre sore back


Accounting: often inflamed lymph nodes surrounding area, cost-solid. Including a cost to most cost-lord called, painless, mobile, no pus.

Tests at this stage:
Stained glass directly:

- Health Products in wound suddenly (chancre) should suddenly wound.

- disease in lymph Products: injection of 0.5 ml normal saline 0.9% in lymph glands and smoking day plague.

- Seamless specimens on glass and examined under the microscope the black background.

Tribondeau Fontana staining method:

- Observe under an optical microscope.


Syphilis period 2 appeared 45 days after the chancre development, this is the stage of sepsis, the spread of symmetry, agricultural feed on the skin, mainly congestive should lose very quickly. There are many twists in bacteria is very contagious lesion. Late-stage infiltration form available.
Two primary syphilis develop the following symptoms:
* Red-committees:
Is inlaid pink peach blossoms are fresh as when a little dark, flat surface of the skin, oval shape, pressing the glass disappears. There is little swelling when the urticaria hassle, no itching, no pain, no scales.
Usually localized two ribs on the network, palms, soles of the feet.
Erythematous existence and pass away a few days, sometimes reappear.
* Cost:
More cost-spreading, in the groin, neck, chin, underarms, elbows, bones beam.
Usually cost more, solid, no pain. No pus and diving fingertips.
* Mucous membranes:
Mucosal wound was suddenly, very shallow, there is no shore. Small particles may pass or coins. Can be from 1 to more injuries.
Array of red mucosa can trot, colored or white clay.
Headache: usually at night.
Hair loss: progressively sparse sparse forest type, style eating cockroaches.
Two recurrent syphilis have symptoms:
The two primary symptoms of syphilis found to exist in a while then disappears without treatment. Over time recurrent silent again, usually from December 4 to December. Lesions in the skin and mucous membranes including:
Recurrent erythematous: Fewer, but larger lesions than the primary distribution erythematous, localized into clusters and forming an arc.
Stainer: Size: a few mm to 1 cm in diameter. Symmetry in nature: body, limbs. Palms, soles of the feet are usually scaly borders (collerette de Biette), may be in the forehead. In the anus, scrotum, vulva, buttocks, upper deck floating high, forming rounded meat block, flat feet out like friends skinned chicken crest. Lesions seen in the armpit, under the breasts, legs guys.
Maternity pictures: Sometimes just Stainer caviar, sometimes pus like chicken pox scabs, sores and sometimes scab. Have when hunting to a crowd, ball type psoriasis scales. Having put up in bunches as it produced, have satellite. There are cases where the deep ulcers, have high coupling.
The syphilis test period 2:
Swabs taken from lesions: the mucus membranes, produce, nuts.
Blood serum reactions for syphilis positive.
Syphilis period 3:
Localized damage, destroying nature organizations and causes irreversible sequelae and even fatal. This period was less dangerous to the community. For women with children are born capable of congenital syphilis. Serological tests remain positive during this period.
Tubercle and syphilis syphilis include:
Localized to the skin, mucous membranes, muscles, joints, eyes, digestive, liver and endocrine.
Lesions: the number of small tubers, a region localized asymmetrically in the back, extremities. Floating high above the tuber skin, round, smooth, infiltration, no pain. Size <1cm, ring, arc, twisted round the shore, between the healthy and the surrounding developments.
Of progress include: over 4 phases
Hard phases: a solid mass lesions, round, clear boundaries, normal skin surface.
Soft phases: from agriculture to include soft, deep red skin stick to the skin, not mobile.
Ulcer stage: includes broken latex comparator, then stick to a stand of ulcers, bloody pus bottom. Shore or to provide all round.
Scarring stage: including scarring from the pinch.
Cardiovascular syphilis:
3 when syphilis is not treated or appear 10-40 years later manifestations of cardiovascular syphilis.
Pan and zoom the aorta, the early stages often has no obvious symptoms, a normal ECG.
Opening the aorta: sound diastolic murmur, maximum increase HA, HA minimal reduction.
Bulging aorta and can be broken because of the weaker vessel.
Nervous Syphilis:
Appear 10-20 years after infection. Lesions in the brain that contain levels of meningitis, chronic.
Ceramics in the spinal cord paralysis localized or whole body.
Congenital syphilis:
Spiral bacteria syphilis passed from mother to child in thu5 months of pregnancy. Spiral bacteria directly into the fetus of congenital syphilis should have the following characteristics: never ulcer lesions, lesions develop early, clearly influenced the development of children.
Depending on the severity of maternal infections that may occur should the following circumstances:
Consecutive miscarriage.
Infants died immediately.
Develop lesions after 2-3 weeks of age.
Early congenital syphilis:
Bullae on the palms of the hands, feet.
Edge cracking of feet.
Runny nose lasts.
OA cartilage included fake parrot
Underweight children, wrinkled skin, pale yellow like old leather. Belly, collateral circulation, hepatomegaly, splenomegaly, weight loss quickly, may die suddenly.
Late congenital syphilis: the same three stages of syphilis.
    

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