Treponema pallidum (Syphilis)

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8 pages

Flashcards

Treponema pallidum (Syphilis)

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Questions

USMLE® Step 1 style questions USMLE

of complete

A 28-month-old boy is brought to the pediatrician for a routine evaluation. The patient was born via vaginal delivery at 38-weeks of gestational age. The patient’s mother received minimal antenatal care. During the third trimester of pregnancy, the mother had developed a disseminated maculopapular rash involving the palms and soles and arthralgias. The patient’s weight is at the 25th percentile, and head circumference is at the 50th percentile. Vitals are within normal limits. Abdominal examination reveals hepatosplenomegaly. A depressed nasal bridge, malformed teeth, and bowing of the tibia are also observed. Cardiovascular examination is unremarkable. Which of the following is the most likely cause of this patient’s condition?  

External References

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Alopecia

syphilis p. 145

Aorta

in syphilitic heart disease p. 319

Aortic aneurysm p. 305

syphilitic heart disease p. 319

Aortic insufficiency

syphilitic heart disease p. 319

Aortitis

syphilis p. 145, 180

Argyll Robertson pupils

syphilis p. 145, 180

Ataxia

syphilis p. 145

Charcot joints

syphilis p. 145

Condylomata lata

syphilis p. 145, 180

Deafness

syphilis p. 181

Gummas

syphilis p. 145, 180

Hydrops fetalis

syphilis p. 181

Lymphadenopathy

syphilis p. 145, 180

Maculopapular rash

syphilis p. 145

Pregnancy p. 651

syphilis in p. 145

Rashes

syphilis p. 145, 180

Saber shins

syphilis p. 181

Saddle nose

syphilis p. 181

Spontaneous abortion

syphilis p. 181

Stroke p. 525

syphilis p. 145

Syphilis p. 145

as granulomatous disease p. NaN

presentation p. 722

prophylaxis for p. 194

STI p. 180

tabes dorsalis p. 544

testing for p. 145

thoracic aortic aneurysms and p. 305

ToRCHeS infection p. 181

Syphilitic heart disease p. 319

Tertiary syphilis

aortic aneurysms p. 731

as granulomatous disease p. NaN

presentation p. 722

Treponema pallidum

syphilis p. 145

Vasa vasorum

syphilis p. 145

Summary

Treponema pallidum is a type of bacterium that causes syphilis, which is a sexually transmitted infection. It can spread through direct contact with a syphilis sore during vaginal, anal, or oral sex. It can cause disease in three stages. The first is localized primary syphilis, and this produces hard chancres. The second is disseminated secondary syphilis, which produces widespread maculopapular rash, and the third is systemic tertiary syphilis, which affects various organs.

Syphilis can be diagnosed by using serological tests and treated with antibiotics like penicillin. If left untreated, it can lead to severe health complications, including organ damage and even death. Syphilis is primarily treated with intramuscular penicillin G benzathine. The main goals of nursing care include the resolution of their infection, and avoiding the spread of the infection among their sexual contacts. Client teaching is aimed at promoting adherence to treatment and follow-up, as well as disease prevention.

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