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Borrielia Burgdoferi (lyme disease) |
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STD causing painless chancre in genital region |
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STD: Fever, chills, maculopapular rash on the palms and soles |
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STD causing gummas (chronic granulomas), aortitis, argyll robertson pupil, neurosyphillis |
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Tertiary Syphilis
Vasa Vasorum destruction (the arteries of the aortas) - looks like tree barking of the aortic tissue
Neurosyphillis - loss of sensoral proprioception Positive rhomberg sign |
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STD that causes saber shins, saddle nose, CNVIII deafness, Hutchinson's teeth, bulberry molars |
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VDRL vs FTA-ABS
VDRL (highly sensitive) - detects nonspecific antibody that reacts with beef cardiolipin
FTA-ABS - more specific. Positive test means active infection or recovery |
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Diagnosis: cytoplasmic inclusions seen on giemsa or fluoroscent antibody
Tx: Doxycycline |
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