S/S: *Syphilis* - ANSWER ▪ chancre
▪ fever
▪ headache
▪ muscle aches
▪ rash
Late:
▪ organ failure
▪ blindness
▪ neuro changes
A 20-year-old sexually active male reports symptoms of a low-grade fever, headache, ma-
laise, muscular aches, sore throat, and a rash on his hands and feet. What condition does
the nurse anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea - ANSWER C. Syphilis
Which stage of syphilis is this?
▪ Ulcer called chancre develop at the site of entry and can occur anywhere.
1
, ▪ Highly infectious stage, begins as a small papule, then breaks down to a painless, indu-
rated, smooth weeping lesion - ANSWER Primary syphilis
Which stage of syphilis is this?
▪ Develops 6 weeks to 6 months, becomes systemic circulating in the blood.
▪ Commonly mistaken for the flu. Rash appears on the palmar surfaces of hands and feet.
Patchy alopecia - ANSWER Secondary syphilis
Treatment: *Syphilis* - ANSWER ▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?"
Treatment: *Chlamydia* - ANSWER Azithromycin single dose 1 g IM
Patient Education: *Chlamydia* - ANSWER ▪ *Abstinence* (7 days) until treatment is
completed
▪ *Expedited Partner Therapy (EPT)* - Educate the patient on the importance of contacting
their sexual partners to enable them to seek testing and possible treatment.
Prevention: *Vulvovaginitis* - ANSWER • Wear cotton underwear.
• Always wipe front to back after having a bowel movement or urinating.
• Do not douche or use feminine hygiene sprays.
• Do not use scented products.
• Use ice packs to help inflammation
Patient has heavy vaginal bleeding - What are you checking and what manifestations do you
expect? - ANSWER ▪ iron levels
▪ CBC (H&H)
▪ hormone levels
2
▪ fever
▪ headache
▪ muscle aches
▪ rash
Late:
▪ organ failure
▪ blindness
▪ neuro changes
A 20-year-old sexually active male reports symptoms of a low-grade fever, headache, ma-
laise, muscular aches, sore throat, and a rash on his hands and feet. What condition does
the nurse anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea - ANSWER C. Syphilis
Which stage of syphilis is this?
▪ Ulcer called chancre develop at the site of entry and can occur anywhere.
1
, ▪ Highly infectious stage, begins as a small papule, then breaks down to a painless, indu-
rated, smooth weeping lesion - ANSWER Primary syphilis
Which stage of syphilis is this?
▪ Develops 6 weeks to 6 months, becomes systemic circulating in the blood.
▪ Commonly mistaken for the flu. Rash appears on the palmar surfaces of hands and feet.
Patchy alopecia - ANSWER Secondary syphilis
Treatment: *Syphilis* - ANSWER ▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?"
Treatment: *Chlamydia* - ANSWER Azithromycin single dose 1 g IM
Patient Education: *Chlamydia* - ANSWER ▪ *Abstinence* (7 days) until treatment is
completed
▪ *Expedited Partner Therapy (EPT)* - Educate the patient on the importance of contacting
their sexual partners to enable them to seek testing and possible treatment.
Prevention: *Vulvovaginitis* - ANSWER • Wear cotton underwear.
• Always wipe front to back after having a bowel movement or urinating.
• Do not douche or use feminine hygiene sprays.
• Do not use scented products.
• Use ice packs to help inflammation
Patient has heavy vaginal bleeding - What are you checking and what manifestations do you
expect? - ANSWER ▪ iron levels
▪ CBC (H&H)
▪ hormone levels
2
