Late (Tertiary) Syphilis • Syphilis • • Clinical Stages of Syphilis • Oct 23 06 Essentials of Diagnosis • Infiltrative tumors of skin, bones, liver (gummas). • Aortitis, aneurysms, aortic regurgitation. • Central nervous system disorders, including meningovascular and degenerative changes, paresthesias, shooting… Syphilis Treatment • Syphilis • Oct 23 06 A. Specific Measures 1. Penicillin - Penicillin, as benzathine penicillin G or aqueous procaine penicillin G, is the drug of choice for all forms of syphilis and other spirochetal infections. Effective tissue levels must be… Syphilis Natural History & Principles of Diagnosis & Treatment • Syphilis • Oct 23 06 Introduction Syphilis is a complex infectious disease caused by Treponema pallidum, a spirochete capable of infecting almost any organ or tissue in the body and causing protean clinical… Syphilis- Complications of Specific Therapy • Syphilis • Oct 23 06 The Jarisch-Herxheimer reaction is ascribed to the sudden massive destruction of spirochetes by drugs and release of toxic products and is manifested by fever and aggravation of the existing clinical picture. It… Syphilis Prevention • Syphilis • Oct 23 06 Avoidance of sexual contact is the only completely reliable method of prophylaxis but is an impractical public health measure for obvious reasons. Annual screening for syphilis among men who have sex with men has been… Congenital Syphilis • Syphilis • • Clinical Stages of Syphilis • Oct 23 06 Congenital syphilis is a transplacentally transmitted infection that occurs in infants of untreated or inadequately treated mothers. The physical findings at birth are quite variable: The infant may have many or minimal signs or even… Syphilis in Pregnancy • Syphilis • • Clinical Stages of Syphilis • Oct 23 06 All pregnant women should have a nontreponemal serologic test for syphilis at the time of the first prenatal visit. In women suspected of being at increased risk for syphilis or for populations in which… Syphilis in Human Immunodeficiency Virus-Infected Patients • Syphilis • • Clinical Stages of Syphilis • Oct 23 06 Interpretation of serologic tests should be the same for HIV-positive and HIV-negative individuals. Because syphilis has variable clinical manifestations and an unpredictable course, evaluation of case reports of unusual clinical or… Late Latent (“Hidden”) Syphilis • Syphilis • • Clinical Stages of Syphilis • Oct 23 06 Essentials of Diagnosis • No physical signs. • History of syphilis with inadequate treatment. • Positive serologic tests for syphilis. General Considerations & Treatment Latent syphilis is… Relapsing Syphilis (Early Latent Syphilis) • Syphilis • • Clinical Stages of Syphilis • Oct 23 06 The essentials of diagnosis are the same as in secondary syphilis. The lesions of secondary syphilis heal spontaneously, but secondary syphilis may relapse if undiagnosed or inadequately treated. These relapses may include… Secondary Syphilis • Syphilis • • Clinical Stages of Syphilis • Oct 23 06 Essentials of Diagnosis • Generalized maculopapular skin rash. • Mucous membrane lesions, including patches and ulcers. • Weeping papules (condylomas) in moist skin areas. • Generalized nontender… Primary Syphilis • Syphilis • • Clinical Stages of Syphilis • Oct 23 06 Essentials of Diagnosis • History of sexual contact (often unreliable). • Painless ulcer on genitalia, perianal area, rectum, pharynx, tongue, lip, or elsewhere 2-6 weeks after exposure. • Nontender… Stress Fast Tracks Puberty • Sexual Health News • Oct 19 06 Stress, such as that brought on by parental separation and absentee fathers, fast tracks puberty, say researchers in the Journal of Epidemiology and Community Health. But the failure of politicians, teachers and often… Contraceptive options in the U.S. examined • Sexual Health News • Oct 18 06 The New York Times on Tuesday examined contraceptive options in the U.S., where 60% of unplanned pregnancies occur among women who use contraception. Some contraceptive devices - such as cervical caps,… Men who pay for sex often have partners at home • Sexual Health News • Oct 03 06 Using data from a standard health screening questionnaire, researchers in the UK say they have found that one in ten men had paid for sex. The survey… Excess weight reduces men’s fertility • Sexual Health News • Sep 25 06 Obese men are more likely to be infertile than their slimmer peers, according to the first study to look at whether a man’s weight influences a couple’s fertility. Every excess 10 kilograms,… Money Matters When Choosing an Infertility Treatment • Sexual Health News • Sep 25 06 If advice is cheap, ART - assisted reproductive technology - is not, and the difference in cost has a significant effect on the treatments pursued by infertile couples in the… Many men who have sex with men deny being gay • Sexual Health News • Sep 18 06 A substantial percentage of men who have homosexual sex still consider themselves “straight,” a survey of New York City men suggests. The findings imply that doctors should… Wanted: healthy sperm for fertility treatments • Sexual Health News • Sep 14 06 A British fertility clinic has overcome a shortage of home-grown sperm by importing it from Denmark. Supplies of the rare commodity in Britain have dried up as donors take fright at… India to ask young villagers to encourage safe sex • Sexual Health News • Sep 13 06 India plans to recruit one young man and woman from every large village in the country to over the next five years teach their peers about safe sex… NY’s gay baths become sex clubs of last resort • Sexual Health News • Sep 12 06 Wearing just a small white towel and a smile, Bob prowls the dark halls of the East Side Club, looking into dozens of its closet-sized rooms and hoping… New drug sorts out premature ejaculation • Sexual Health News • Sep 11 06 According the American Urological Association, premature ejaculation affects about 20% of males in the U.S. aged 18-59. Premature ejaculation (PE) occurs before or soon after penetration; it often happens to men… SSRI’s developed for premature ejaculation, safe and effective • Sexual Health News • Sep 08 06 A selective serotonin reuptake inhibitor (SSRI) developed specifically for the treatment of premature ejaculation is safe and effective for men severely affected by the condition, according to an Article… Anti-impotence cream seen safe, effective • Sexual Health News • Sep 07 06 Alprostadil cream significantly reduces erectile dysfunction “in a broad range of patients” and is generally well tolerated, with the most frequently reported side effect being burning or redness at the site of… Obesity in Men Linked to Infertility • Sexual Health News • Aug 31 06 Men with increased body mass index (BMI) were significantly more likely to be infertile than normal-weight men, according to research conducted at the National Institute of Environmental Health Sciences (NIEHS), one… Page 27 of 39 pages « First < 25 26 27 28 29 > Last » << Back to main
