Human Papilloma Virus

Question 0

History

Answer 0

Sexually active?
Possible pregnancy?
Use of barrier protecction?
Type of contraception used?
Multiple partners? male/female/both?
Types of lesions - description
Any bleeding
Rectal involvment?
Allergies- NKMA
Medications - None
SH - partners, monogamous, M?F?B? use of condoms, Abuse?

Question 1

HPV

Answer 1

Causes genital warts and high degree of cervical dysplasia.

Question 2

Physical

Answer 2

EENT - sclera/ conjunctiva No dc, oral mucosa moist no lesions, no exudate, No LAD, no thyroidmegaly.
Heart - RRR no G/R/M
Chest - CTAB
Abdomen - No HSM, NT, no masses
Urogenital- scribe lesions, papular, smooth, number, location, size, areas affected, areas spared.
Rectal - Males do prostate exam, affected or spared.
Pelvic - vaginal mucosa pink, cervix midline, no dc, no lesions, PAP done.

Question 3

DX -

Answer 3

Genital warts

Question 4

Plan

Answer 4

Labs - PAP (today), RPR
Medications - none
Education - Discussed Cryotherapy for lesions, OTC options for self treatment, prevention, safe sex, partner screening.
RTC - 1-2 weeks.