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Flashcards in Bacterial Deck (13):
1

Typical hunterian chancre of primary shypillis

Single
Painless
Regular indurated
Erythematous plaque which ulcerates
Ulcer has clean floor

Lymphadenopathy: inguinal , multiple , small, firm , nontender

2

Cutaneous lesions of secondry shypillis

Its a systemic disease
Rash: may have any morphology( macular , papular , nodular)

Condylomata lata

Mucosal lesions

Lymphadenopathy: symmetrical, nontender, generalised ( l.n. like suboccipetal and epitrochlear may also be involved)

3

Manifestations of tertiary syphillis

Gummatous ds(prototypic lesion : form of granuloma)

SKIN nodular gummata

MUCOSAE gumma

MUSCULOSKELETAL
osteitis
Periostitis

NERVOUS
Meningeal
Parenchymatous

CVS
Aortitis
Aneurysm
Coronary stenosis

LIVER
Hepatic gummata

4

Manifestations of congenital syphillis

Any type of skin lesion
Rhinitis
Saddle nose
Pharyngitis , laryngitis
Epiphysitis(pseudoparalysis of parrot)
Periostitis
Dactylitis
Cluttons joint
Hepatosplenomegaly
Generalised lymphadenopathy
Cns
Ocular

Hutchinson triad: notched in incisors , interstial keratitis , SNHL
Saber shin


5

Chancroid / soft sore

Multiple
Superficial
Tender
Nonindurated
Undermined , irregular edges
Base : purulent , bleeds easily

Inguinal bubo: tender , may suppurate , usually unilateral

Gram stain : school of fish , rail track appearance

6

Donovanosis

Variable no
Floor is beefy , velvety ,exuberant granulation tissue which bleeds on touch
Edge : elevated, irregular


Pseudobuboes: subcutaneous swellings in inguinal region

7

Pseudobubo seen in

Donovanosis

8

Granuloma inguinale / venerum

Donovanosis

9

Gram stain of donovanosis

Donovan bodies

Rod shaped cell in cytoplasm of mononuclear / macrophages

10

LGV

Present of transient primary genital lesion often not noticed



Lymphadenopathy: tender ,may suppurate ,usually unilateral
Groove sign (both inguinal and femoral nodes are enlarged and are separated by inguinal ligament)

11

School of fish appearance

H.ducryie

On gram staining

12

Genital herpes

HSV1 /2

Painful
grouped
small vesicles
Surrounded by zone of erythema
Rupture to form ulcers often with polycyclic margins

Tender , bilateral lymphadenopathy

13

Genital ulcers caused by

Sypllis
Herpes
Chancroid
LGV
Donovanosis