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Research draft

syphilis

vr.tr.syphilis · ACT.ACT

Let an agent explain syphilis in general terms, relay testing, treatment and prevention guidance from health authorities, describe its public health and historical significance including ethical failures in research, and route personal symptoms or results to clinicians and sexual health services.

Thing Registry Activities and processes

Research draft, second pass

A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.

written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify

Researched by: Claude

Purpose and description

Let an agent explain syphilis in general terms, relay testing, treatment and prevention guidance from health authorities, describe its public health and historical significance including ethical failures in research, and route personal symptoms or results to clinicians and sexual health services.

A sexually transmitted infection caused by the bacterium Treponema pallidum, progressing if untreated through primary, secondary, latent and tertiary stages that can affect the skin, mucous membranes, heart, nervous system and other organs, and transmissible from mother to child in pregnancy; it is diagnosed by blood tests and cured by antibiotics, usually penicillin.

What it is for: Not applicable; a disease.

It can be explain stages and transmission in general terms; relay testing and treatment guidance from authorities; relay prevention and partner notification information; route personal questions to clinical services.

Distinguishing features

Caused by Treponema pallidum

Staged course with latency

Curable with penicillin

Congenital transmission preventable by antenatal screening

What it looks like

Not visible as an object; a painless sore in the primary stage, a rash in the secondary stage, and no signs in latency.

Physical character

incubation to primary stage: about 10-90 days - typically about three weeks

new infections: millions per year worldwide - WHO estimates

How it is recognised

Painless chancre at the site of infection

Secondary rash often on palms and soles

Other treponematoses such as yaws are related but distinct infections

Related models

is a kind of - the category

sexually transmitted infection

is caused by - the bacterium

Treponema pallidum

is treated by - first-line antibiotic

penicillin

is confused with - a related treponemal disease

yaws

In practice

Families and kinds

primary, secondary, latent and tertiary syphilis

neurosyphilis and ocular syphilis

cardiovascular syphilis

congenital syphilis

syphilis in pregnancy

Identifiers

ICD-10 A50-A53

ICD-11 1A60-1A62

Standards and regulation

WHO guidelines on treatment and antenatal screening

National sexually transmitted infection guidelines

Notifiable disease reporting

Research ethics rules adopted after historical abuses

Failure modes and hazards

Untreated progression to neurological and cardiovascular disease

Congenital syphilis from missed antenatal screening

Stigma delaying testing

Agents giving personal medical advice

Also called

syphilitic aortic aneurysmneurosyphilissecondary syphilitic hepatitisbursa syphilissyphilitic retrobulbar neuritissyphilitic meningitisasymptomatic neurosyphilissyphilitic peritonitissyphilitic pericarditiscongenital syphilitic encephalitismeningovascular neurosyphilistertiary syphilitic meningitissecondary syphilitic meningitispulmonary syphilisnasal syphilissecondary syphilitic chorioretinitissyphilitic myocarditissyphilitic endocarditisprimary syphilissecondary syphilistertiary syphilislatent syphilissyphilitic acoustic neuritisrenal syphilissyphilitic disseminated chorioretinitissyphilitic optic atrophysecondary syphilitic iridocyclitissyphilitic interstitial keratitissyphilitic episcleritisSyphilis of breastcongenital syphilisSyphilitic aortitismuscle syphiliscongenital syphilitic osteochondritisearly congenital syphilislate congenital syphilisDennie–Marfan syndrome

Where this came from

wikidata · CC0 1.0

Also registered as vr.tr.syphilis

Drafted structure

Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.

Understand What syphilis is.

General information.

Course

Stages and transmission.

Course

Course.

  1. How is syphilis transmitted, and what happens in each stage if untreated? definition
  2. Is the user describing their own symptoms, which need a clinician? boundary

Recognise

Signs.

Recognise

Recognise.

  1. What signs characterise each stage, and how is it distinguished from other conditions? definition
  2. Which entry fits another sexually transmitted infection? action
Care Testing and treatment.

Clinical.

Testing

Testing.

Testing

Testing.

  1. Who should be tested according to guidelines, and how is testing accessed? provenance
  2. Which services provide testing locally? action

Treatment

Treatment.

Treatment

Treatment.

  1. What treatment do guidelines describe, and why is follow-up needed? provenance
  2. Is the presentation free of personal treatment advice? boundary
Prevent Prevention and public health.

Public health.

Prevention

Prevention.

Prevention

Prevention.

  1. What prevention and partner notification measures do authorities recommend? provenance
  2. Which entry fits sexual health services? action

Congenital

Pregnancy and screening.

Congenital

Congenital.

  1. How is congenital syphilis prevented through antenatal screening? provenance
  2. Which entry fits antenatal care? action
History History and ethics.

Attribution.

History

History.

History

History.

  1. How did syphilis spread and how was it treated before antibiotics, with debates about origin attributed? provenance
  2. Which references are standard? provenance

Ethics

Research ethics.

Ethics

Ethics.

  1. What happened in the Tuskegee and Guatemala studies, and how did they change research ethics? provenance
  2. Is the presentation accurate and attributed? boundary

What the second pass must settle

  • Should congenital syphilis be a separate entry?
  • How should national guidelines be linked?
  • The registry entry has merged aliases for specific complications; should they be split off?