IMGR-ID_Feb-23 - HPV Curriculum Genital Human...

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1 HPV Curriculum Genital Human Papillomavirus (HPV) Infection Edward L. Goodman, MD February 23, 2005
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2 HPV Curriculum History Anne Drew: 34-year-old woman who wants to get "checked out" because Jonathan, her sex partner, has small solid "bumps" on the skin on the shaft of his penis Jonathan told her that he was diagnosed and treated for genital warts about a year ago, and his health care provider told him they could recur. No history of abnormal Pap smears and no history of STDs Last Pap smear performed 4 months ago Sexually active with men only since age 16; has had a total of 7 sex partners over her lifetime Currently sexually active with 1 partner for the last 8 months Uses oral contraceptives for birth control Case Study
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3 HPV Curriculum Physical Examination Vital signs: blood pressure 96/74, pulse 78, respiration 13, temperature 37.1° C Cooperative, good historian Chest, heart, musculoskeletal, and abdominal exams within normal limits Pelvic exam is normal Visual inspection of the genitalia reveals multiple small (<0.5 cm), flesh-colored, papular lesions in the perineal area Case Study
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4 HPV Curriculum Perianal Warts Clinical Manifestations Source : Seattle STD/HIV Prevention Training Center at the University of Washington/ UW HSCER Slide Bank
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5 HPV Curriculum Vulvar Warts Clinical Manifestations Source: Reprinted with permission of Gordon D. Davis, MD.
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6 HPV Curriculum Lessons I. Epidemiology of genital HPV infection in the U.S. II. Pathogenesis III. Clinical manifestations and sequelae IV. Diagnosis of genital warts and cervical cellular abnormalities V. Patient management VI. Patient counseling and education VII. Partner management and public health measures
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7 HPV Curriculum Lesson I: Epidemiology of Genital HPV Infection in the U.S.
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8 HPV Curriculum Introduction Genital HPV is one of the most common STDs. More than 30 HPV types can infect the genital tract. Epidemiology
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9 HPV Curriculum Genital Herpes is the Most Prevalent STD Genital Herpes (HSV-2) Genital Herpes (HSV-2) 45 million 45 million Chlamydia 2 million Hepatitis B 417,000 HIV 560,000 HPV 20 million Henry J. Kaiser Family Foundation. CDC Web site. Tracking the hidden epidemics: trends in STDs in the United States 2000:1-31. Xu, F. CDC. NHANES 1999-2002, Oral Presentation. IDSA, Boston 2004. 1 Million New Genital Herpes (GH) Infections per Year in the US
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10 HPV Curriculum Introduction HPV types are divided into 2 groups based on their association with cervical cancer: Low-risk types associated with genital warts and mild Pap test abnormalities High-risk types associated with mild to severe Pap test abnormalities and cervical cancer Most genital HPV infections are transient, asymptomatic, and have no clinical consequences. Epidemiology
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11 HPV Curriculum Incidence in the U.S.
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This note was uploaded on 01/02/2012 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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IMGR-ID_Feb-23 - HPV Curriculum Genital Human...

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