HISTORY:
for
, up to °, over
Treatments tried: ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
Pelvic: vulva , vagina , cervix , uterus , adnexa ,
Genital: , testicles , penis
Skin:
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , , , , , , , , , ,
- Lumbar puncture
- Chest X-ray
- (advised that may experience fever and muscle aches in the 24 hrs following injection)
-
-
- Sexual partners notification and screening treatment (last 12 months)
- Sexual partners treatment (last 3 months)
- Abstinence until treatment completed and symptoms resolved
- Counseling on safe sex practices
- Notification to public health
- Repeat Syphilis RPR in 3, 6, and 12 months
- Referral to infectious disease specialist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop