By vgreene, 1 April, 2016 Examine for signs of congenital syphilis (eg, nonimmune hydrops, jaundice, hepatosplenomegaly, jaundice, rhinitis, rash, pseudoparalysis)3
By vgreene, 1 April, 2016 Perform nontreponemal test (RPR or VDRL)1 in neonate & compare to mother's2
By vgreene, 1 April, 2016 Congenital syphilis unlikely | Normal exam and quant nontreponemal titer ≤4-fold mothers and mother adequately treated before preg, and mother’s titer remained low/stable before/during preg and at delivery (VDRL
By vgreene, 1 April, 2016 Congenital syphilis less likely | Normal exam and serum quant nontreponemal titer ≤4-fold mother's and mother treated >4 wks before delivery w/ regimen appropriate for stage of infxn and has no evidence of reinfxn/relapse
By vgreene, 1 April, 2016 Congenital syphilis possible | Normal exam and nontreponemal titer ≤4-fold mother's + 1 of: Mother not treated/inadequately treated/undocumented
By vgreene, 1 April, 2016 Congenital syphilis proven/highly probable | Abnl exam or quant nontreponemal titer 4-fold higher than mother's or (+) darkfield test/PCR of lesions/body fluid