Syphilis and Its Management

Physical ExaminationThe objective is to find evidence of present or past syphilis in any stage, either of congenital or of acquired disease. The following are some of the more common objective findings, with brief interpretations: Head and face. Deformities here are prominent in patients with congenital syphilis. While taking the history, the physician has ample opportunity to observe the patient's features. He should look for the facies of congenital syphilis, with bulging frontal bosses (Parrot's nodes), "saddleback" nose, rhagades at the angles of the mouth and radiating scars at the corners of the eyes, and for the concave . . .