Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services for sudden loss of vision, facial drooping, one-sided weakness, trouble speaking, collapse, or other possible stroke symptoms.
Difficulty breathing or swelling of the face or throat after an antibiotic may be a severe allergic reaction and also needs emergency care.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical advice if you are pregnant and may have been exposed, or if a blood test suggests syphilis.
Early assessment helps protect both you and the baby.
A baby who may have been exposed during pregnancy also needs prompt medical assessment.
Seek urgent same-day care for new blurred vision, eye pain, eye redness, sudden hearing changes, severe headache, confusion, weakness, or poor coordination.
3
Does any of this apply?
Book an appointment
Arrange a sexual health or primary care appointment soon if you have:
A painless genital, anal, or mouth sore
An unexplained rash, especially on the palms or soles
A partner who has been diagnosed with syphilis
A positive syphilis test without documented treatment
Possible sexual exposure and concerns about infection
Routine follow-up blood tests are not emergencies, but they remain important even when you feel well.
Every sign above is quoted from the sofidex article on Syphilis. If you are not sure, err upward — it is always reasonable to be checked.