Dr. CZ ✓
@AngelMD1103 · Florida, USA · joined 27 Jun 2018
“Dr. CZ Physician. I say what your doctor won't say out loud. Real talk on health, medicine, and everything else no one wants to admit. 🇺🇸 🇵🇷 No DM's
158 581Followers
5 206Following
310 973Posts total
966.7KViews on collected posts
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Syphilis is often called "the great imitator" its symptoms can look like dozens of other conditions, which is exactly why it goes undiagnosed for years in some cases.
One of these facts about syphilis is false.
Can you identify it?
A) It can be completely asymptomatic for
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@AngelMD1103 True, and an oral chancre or later mucous patches in the mouth are easy to mistake for a canker sore. Dentists see this rarely but it does happen
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A rash on your palms and the bottoms of your feet can be a clue doctors don't want to miss.🧵
Secondary syphilis can cause rough, red or reddish-brown spots that may spread across the body, and the rash often doesn't itch.
It can look like many other skin conditions, which is ht
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5. TESTING AND TREATMENT WORK
Syphilis is diagnosed with blood tests, and sometimes testing fluid from a sore.
Penicillin G, is the recommended treatment, but the exact dose and schedule depend on the stage, pregnancy status, allergies, and whether the nervous system or eyes
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3. WHEN SYMPTOMS DISAPPEAR, THE INFECTION MAY STILL BE THERE
The latent stage has no visible signs or symptoms.
A person may feel completely well, but blood tests can still detect the infection, and treatment is still needed.
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4. UNTREATED SYPHILIS CAN CAUSE SERIOUS LATE COMPLICATIONS
Years later, tertiary syphilis can affect the heart and blood vessels, brain and nervous system, eyes, and other organs.
Not everyone develops late-stage disease, but there is no safe way to know who will without
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2. THE SECOND STAGE CAN CAUSE A RASH, INCLUDING ON PALMS AND SOLES
Secondary syphilis can cause a non-itchy rash, often involving the palms of the hands and soles of the feet.
Other symptoms can include mouth or genital sores, swollen lymph nodes, fever, sore throat, patchy
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1. PRIMARY SYPHILIS CAN LOOK LIKE “NOTHING”
The first sign is often a firm, round, painless sore called a chancre where the bacteria entered the body.
It may occur on the genitals, anus, rectum, lips, mouth, or other areas, and it can be missed if it is inside the vagina,
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Syphilis can hide in plain sight.
A painless sore can heal. A rash can fade. Symptoms can disappear for years.
But without treatment, syphilis can continue silently and eventually damage the brain, nerves, eyes, heart, and blood vessels.
Here are 5 things everyone should know.
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Your blood pressure is normal at one moment.
Then suddenly: 180/110.
Your heart is pounding.
You're sweating.
Your head hurts.
Twenty minutes later, the numbers come back down, and you feel almost fine again.
Repeated episodes like this, sudden spikes in blood pressure paired
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Your skin can change when your body suddenly releases too much adrenaline.
With pheochromocytoma, an adrenal tumor can release excessive catecholamines, triggering episodes that may show up on the skin:
Pallor: the face may suddenly look unusually pale.
Flushing: some people h
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@AngelMD1103 One extra clue worth tracking: attacks that cluster around specific triggers (micturition, anesthesia, certain meds) or a family history of endocrine tumors raise suspicion even when the classic triad is incomplete. Plasma free metanephrines timed to an episode beat
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5. IT IS RARE, BUT TESTABLE
Pheochromocytoma is uncommon, and most people with high blood pressure or anxiety do not have it.
When the pattern raises concern, clinicians can use blood or urine tests for catecholamine breakdown products, followed by imaging if indicated. Do not
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4. IT CAN FEEL EXACTLY LIKE PANIC
Shaking, pallor, flushing, nausea, chest or abdominal discomfort, a sense of doom, anxiety, and panic can all happen when adrenaline-like hormones surge.
The symptoms are real, whether the cause is anxiety, a heart rhythm problem, thyroid
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3. BLOOD PRESSURE MAY SPIKE DURING THE ATTACKS
Some people have persistently high blood pressure. Others have sharp, episodic surges that can return to normal between attacks.
A normal blood-pressure reading between episodes does not always rule it out.
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2. THE CLASSIC TRIAD IS HEADACHE, SWEATING, AND PALPITATIONS
A pounding or racing heartbeat, drenching sweat not explained by heat or exercise, and severe headaches are a classic pattern, especially when they occur together.
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1. THE EPISODES COME OUT OF NOWHERE
Symptoms often arrive in sudden attacks, lasting minutes to an hour or longer, then ease or disappear between episodes.
They may become more frequent or severe over time.
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She was told her racing pulse and panic were “just anxiety.”
Years later, doctors found a rare adrenal tumor releasing surges of adrenaline-like hormones into her bloodstream.
The condition is called pheochromocytoma, and while it is rare, its symptoms can closely mimic a panic
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Against accounts of the same size
18 posts from the last 90 days, next to the 100K–1M follower range. shown widely, but few of those viewers react.
Median views8 902this account6 507median for 100K–1M
Reach, %5.61%this account1.63%median for 100K–1M
Engagement, %0.17%this account0.96%median for 100K–1M
| Metric | This account | Median for 100K–1M | Ratio |
|---|---|---|---|
| Median views per post | 8 902 | 6 507 | 1.37× |
| Reach (views ÷ followers) | 5.61% | 1.63% | 3.44× |
| Engagement rate | 0.17% | 0.96% | 0.18× |
Others in this range → Compare with another account → How these benchmarks are built →
Growth & engagement
How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.
Views per post
1.8K22 Sep
1.3K
129
61K
5.3K
685.2K23 Sep
23.5K
23K
20.9K
22.3K
19.2K
10.4K
7.4K
4.3K
Last 14 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.
Engagement rate per post
0.16%22 Sep
0.39%
0.78%
0.19%
2.12%
0.09%23 Sep
0.07%
0.03%
0.04%
0.04%
0.04%
0.97%
0.05%
1.59%
Reactions — likes, reposts, replies and quotes — divided by views. Median for 100K–1M accounts is 0.96%.
What the audience does
Likes48.9%790 in total
Reposts21.8%352 in total
Replies2.3%37 in total
Quotes0.2%4 in total
Bookmarks26.7%432 in total
Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.
The follower curve appears once this account has two daily snapshots — we take one a day, and this one is on its first.
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