GU- HPV Flashcards
HPV
DNA viruses
100 different types, 30 can infect genitals
warts, cancer
adenocarcinoma in situ
cervical intraepithelial neoplasia
juvenile respiratory papilomas
Types for genital warts
6 or 11
Types for cervical cancer
16, 18, 31, 33, 35
vaccine created in 2006
available for males and females
wart appearance and location
skin colored, cauliflower, mm-cm, painless, itch, burn, bleed.
vagina, cervix, vulva, penis, perianal area, scrotum
history taking questions for suspected sti’s?
Diagnostics for HPV
visual inspection
biopsy
Diff dx
molluscum contagiosum
HPV treatment
podofolix
patient applied 0.5% solution or gel
HPV treatment imiquidmod
3.75 or 5% cream
patient applied
HPV treatment
Sinecatechins
15% ointment
patient applied
cryotherapy
provider applied liquid nitrogen
TCA or BCA
gardisil
6, 11, 16 and 18 warts
when is vaccine administered?
age 11-12 but may start at 9
when is vaccine administered in women?
age 22-26
vaccine considerations
wait 15 min after injection for adv effects after first injection
3 series schedule over 6 months
0, 1-2 months, 6 months
Only two doese are required if started before age 15 6 months apart