NSG 3336 Lecture Notes - Lecture 67: Genital Wart, Colposcopy, Human Papillomavirus Infection
Document Summary
Epidemiology > more than 100 known types and precursor of cervix, vulva, vagina, anus and penis cancer. Approximately 75-80% of females develop by age 50, and very common under age 30. Virus = condylomata acuminate > most common infection in us. Low risk strains causes 90% > genital warts = soft, eshy, fat raised lesions that may resemble cauli ower in appearance. Majority of pts. who have oncogenic hpv = subclinical > early stage of disease does not show symptoms. Clinical manifestations = typically no symptoms, and non-oncogenic symptoms of genital warts. Diagnosis = pap test colposcopy and biopsy if hpv positive. Medical management > treatment is not recommended for hpv in absence of genital warts or lesions. Treatment done to remove warts using creams (imiguimoid) or gels (podo lox) Vaccine precautions (gardasil) > recommended that it be given to girls and boys ages 11-12 ages 13-26 to those not vaccinated.
