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general paresis
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central nervous system,
general paresis, impairment of mental function, brain from untreated syphilis, extremely uncommon, general paresis is one form of neurosyphilis, manifestation of a late, untreated syphilis infection, a progressive, life-threatening complication, infection causes, widespread damage, nerves, the brain, damage results in personality changes, mood changes, hyperactive reflexes, eye changes, abnormal pupil response, abnormal mental function, hallucinations, delusions, decreased intellectual functioning, speech changes, brief, sharp, "lightning" pains, characteristic of tabes dorsalis, general paresis typically begins, 15-20 years, original syphills infection, risks include previous syphilis infection, previous infection, sexually transmitted diseases, gonorrhea, hide symptoms of syphilis infection, syphilis infections, transmitted primarily, sexual contact, an infected lesion, occasionally be transmitted by non-sexual contact, seizures, loss of short-term memory, recent events, loss of long-term memory, long-past events, impaired judgment, decreased language ability, aphasia, loss of ability to calculate, personality changes, inappropriate moods, no mood exhibited, irritable, angry, delusions, hallucinations, decreased motivation, apathy, muscle weakness, difficulty using legs, arms, parts, an eye examination, indicate a change in pupil response, a neurologic, muscular examination indicates slowly progressive dementia, loss of multiple brain functions, muscle weakness evident, a loss of vibratory, position sense, gait disturbances, common, person unable to stand, the eyes closed, romberg test, blood tests to detect syphilis, vdrl, fta-abs, tests to evaluate the nervous system, a csf, cerebrospinal fluid, examination, abnormal results, positive vdrl, fta-abs test of csf confirming neurosyphilis, a head ct scan, nerve conduction tests, goals of treatment, to cure the infection, reduce progression, the disorder, the infection, reduce new nerve damage, not cure existing damage, penicillin, antibiotics, doxycycline, given to treat the infection, treatment prolonged to ensure that the infection is completely cleared, a follow-up examination, the cerebrospinal fluid is required to evaluate the effectiveness of antibiotic therapy, symptomatic treatment, existing neurologic damage, emergency treatment of seizures required, anticonvulsants, phenytoin, needed to control seizures, assistance, supervision, such activities, eating, dressing needed, patients, unable to care, physical therapy, occupational therapy, interventions appropriate, muscle weakness, progressive disability is likely, late syphilis infections, more prone, development of other infections, not treated, progressive disability is likely, complications include the inability to care, oneself, inability to communicate, interact, injury caused, seizures, injury from falls, related to unsteady gait, call health care provider symptoms of general paresis, known history of syphilis infection, seizures occur, adequate treatment, follow-up of primary syphilis, secondary syphilis infections, prevent general paresis, safer sex practices, limiting partners, using protective barriers, in contact, potentially infectious material, reduce the risk of developing the initial syphilis infection.
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