By rray, 24 June, 2024 Patient Type Header (Long) Tertiary (cardiac, gummas, tabes dorsalis, general paresis) Does this Patient Type contain sub types? No Patient Type Details Perform CSF exam in all pts w 3 syphilis If CSF normal treat w benzathine penicillin G1 2 2 4 MU IM qwk x33 4 If CSF abnormal treat w neurosyphilis regimen 1 2 If PCN allergy treat in consultation w ID specialist Test for HIV 5 and if in high prevalence area retest in 3mo If dx in 2nd half of pregnancy eval for congenital syphilis w fetal sonogram6 Inform pt about Jarisch Herxheimer rxn Serologic f u depends on gestational age at dx tx