By vgreene, 16 November, 2015 If s sx persist recur post tx or nontreponemal titers uarr 4 fold and persist for 2wk 6
By vgreene, 16 November, 2015 If dx in 2nd half of pregnancy, eval for congenital syphilis w/ fetal sonogram5
By vgreene, 16 November, 2015 In 2nd half of pregnancy, can cause early labor/fetal distress, rarely stillbirth, but should not delay tx; f/u closely w/ OB
By vgreene, 16 November, 2015 Test for HIV3 and if in high prevalence area retest in 3mo If neuro4 or ocular s sx present perform CSF eval slit lamp and otologic exam
By vgreene, 16 November, 2015 If clinical signs of neurosyphilis,9 check CSF cell count10/protein and VDRL11