By vgreene, 16 November, 2015 If PCN allergy, but compliance and follow-up not ensured, perform PCN-desensitization and treat w/ benzathine penicillin G
By vgreene, 16 November, 2015 Eval mucosal surfaces oral cavity perianal area perineum vagina beneath foreskin for lesions test for HIV If neuro s sx present 1 eval for neurosyphilis
By vgreene, 16 November, 2015 If titer does not ↓ 4-fold after 24 mo,7 consider CSF exam and tx for neurosyphilis if indicated
By vgreene, 16 November, 2015 If sx develop or sustained 2wk 4 fold uarr in nontreponemal titer occurs examine CSF and tx for neurosyphilis if indicated