Lymphogranulomavenereum(LGV)(alsoknownas"Climaticbubo",[1]"Durand–Nicolas–Favredisease",[1]"Poradenitisinguinale",[1]and"Strumousbubo"[1])isasexuallytransmitteddiseasecausedbytheinvasiveserovarsL1,L2,L2aorL3ofChlamydiatrachomatis.[2]
Tx:azithordoxyx21daays
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follicular(proliferative)cycle:luteal(secretory)cycle:timefromovulationtoonsetofmenses,ifeggsremainsunfertilized.14days.eggsonlyavailableforuptp24hours.sperms48hursaftercoitus[
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chronicsystemicillnessspirochetetreponemapallidumgreatmasqueraderincubationof21daysfromexposure,theprimaryleasionappears,atthesiteofinuculation.itbeginsasasmallpainlesspapulethtaulceratesintoachancrewithfirmindurateborders.lasts2to6weeksandthenspontaneouslyresolves.thesencondstage,fever,malaise,headach,lymphadenopathy,andmucocutaneousrash.includespalmsandsoles,yetsparetheface,withtheexceptionofthe...[
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alwaysunilateralintheareaoftheeyeortempleAutonomicsigns:tearing,nasalconhestion,horner'ssyndrome[
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Suabarachnoidhemorrhage:cerebralaneurysms,cokain/amphetamineabuse,andarteriovenousmalformationsHAthatstartwithexertion(walkingorvalsalvastrain):intracranialhemorrhage,carotidarterydissection,orpheochromocytoma[
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testiculartorsion:suddenonset.cremastericreflextneg,bell-clapperdeformity,immediatesurgicaalinterventionTorsionofappendixtestis:moregradualonset.80%7-14ys,bluedotsignrepressentinginfarctionoftheappendixtestis.NASIDSorsurgicalEpididymitis:subacuteform.Severepainandswelling,fever,chills,andvoidingsymtoms.iduration,swelling,andexquisitetendernessoftheinvolvedepididymis.inSexuallyactivemale,Chlamydiai...[
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aprofuse,frothy,greenish,foul-smellingdischageoftenaccompaniedbyvaginalpruritissailinewebmountFlagel7daysbid,alsoforpartnersBacteralviginaitis:grey-white,yellowdischarge,mustyodor,cluecells.Tx:flagelorclindamycinCandidaVaginitis[
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inilateralspontaneousserousorserosanguinousdischargefor1m:usuallyintraductalpapilloma,lessfrequentlyintrauctalcarcinomaMIlky,bilatralbreastdischarge:Prolactin-producigadenomaSpontanousmultiple-ductgreenish-browndichage,maybeunilateralorbilateral:Fibroyticbreastchangeclearseroousormilkydichagefromsingleotmultipleductsthatresolveupond/cmeds.Purulentdishargefromasinglebreast:subareoarabscess[
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genderageendogenous/exogenousestrogenexposure:earlymenarch(priortoage12),nulliparity,latemenopause(afterage50),andlongtermestrogenreplacementradiaotionhxofuterinecancergenemutationinBRCA[
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Firststage:onsetoflabortillfullcerviacaldialtion;latentandactivephasessecondstage:fullcervicaldilationtodeliveryoftheinfant;thirdstage:deliveryoftheinfanttodeliveryoftheplacenta;fourstage:2hoursafterdelivery[
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