white, pink, or brown with locations involved in women can be the cervix, vagina, vulva, urethral meatus, and perianal region (Lopaschuk, 2013). Primarily diagnosis is made upon physical exam, however a wet mount should be performed to rule out other disease processes and an acetic acid test is helpful in identifying flat warts (Dains et al., 2016). This diagnosis is less likely due to the lack of itching, leukoplakia, clustering, and raised lesions. 5.) Molluscum Contagiosum: these are small two to five-millimeter, painless lesions that umbilicated, flesh tone, dome shaped, papules that are round or oval (Dains et al., 2016). Of note the surface has an umbilication in which a thick creamy core can be expressed (Ball et al., 2015). Lesions can linger for several months to several years (Schaffer & Berger, 2016). Tissue biopsy can be performed, although the characteristics of these lesions are the hallmark for diagnosis, and they are easily spread through scratching (Dains et al., 2016). Primarily found in adults and more prominent in adults with HIV (Dains et al., 2016). This diagnosis is less likely due to the appearance and characteristics of the lesions present, also the patient exhibits an ulceration as opposed to raised papules. References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Female Genitalia. In Seidel’s Guide to Physical Examination (8 ed., pp. 416-465). St. Louis, MO: Elsevier. Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Vaginal Discharge and Itching. In Advanced Health Assessment and Clinical Diagnosis in Primary Care (5 ed., pp. 434-445). St. Louis, MO: Elsevier.
Lopaschuk, C. (2013, July). New approach to managing genital warts. Canadian Family Physician , 59 (7), 731-736. Retrieved from Pastuszczak, M., & Wojas-Pelc, A. (2013, August). Current standards for diagnosis and treatment of syphilis: selection of some practical issues, based on the European (IUSTI) and U.S. (CDC) guidelines. Advances in Dermatology and Allerology , 30 (4), 203-210. Schaffer, J. V., & Berger, E. M. (2016, September). Molluscum Contagiosum. JAMA Dermatology , 152 (9), 1072.
- Summer '15
- Syphilis, Vulva, Genital wart, Dains