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Vaginal Discharge And STD

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• Asymptomatic<br />

• Symptomatic<br />

Neurosyphilis<br />

– Meningovascular syphilis - 4-7 4 7 yrs after infection<br />

• Stroke, cranial nerve abnormalities<br />

– Paraenchymatous syphilis<br />

• Decades after infection<br />

• Progressive dementia, personality changes<br />

• Sensory ataxia, loss of proprioception, lighting pains,<br />

y , p p p , g g p ,<br />

autonomic dysfunction, optic atrophy, disturbed sensation

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