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Ep 183 STIs: Pelvic Inflammatory Disease and Genital Lesions – HSV, Syphilis and LVG
Emergency Medicine Cases
How to Diagnose Syphilis Clinically
Primary syphilis is often missed because it's painless, we see them come in with the rash on the palms and the soles of the feet. Then there's neurosyphilis and tertiary syphilis, which is usually diagnosed just as an inpatient. So who we should test comes down to patients that we're seeing in the emergency department with anogenital ulcerative lesions. We want to do testing on those lesions to determine whether it’s syphilis or some other disease. And if you are testing a patient that has an ulcer, there are direct detection methods that can be done on that ulcer itself.
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