RT Book, Section
A1 Mayeaux, Jr., E.J.
A1 Lenhard, Matthew J.
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164359311
T1 Genital Warts
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164359311
RD 2024/09/07
AB An  18-year-old  woman  presents  with  a  concern  that  she  might  have  genital  warts  (Figure  139-1).  She  has  never  had  a  sexually  transmitted  disease  (STD)  but  admits  to  two  new  sexual  partners  in  the  last  6  months.  She  has  not  been  vaccinated  against  human  papillomavirus  (HPV).  The  patient  is  told  that  her  concern  is  accurate  and  she  has  condyloma  caused  by  HPV  (an  STD).  The  treatment  options  are  discussed  and  she  chooses  to  have  cryotherapy  with  liquid  nitrogen  followed  by  imiquimod  self-applied  beginning  2  weeks  after  cryotherapy.  A  urine  test  for  gonorrhea  and  Chlamydia  is  performed  and  the  patient  is  sent  to  the  lab  to  have  blood  tests  for  syphilis  and  HIV.  Fortunately,  all  the  additional  tests  are  negative.  Further  patient  education  is  performed  and  follow-up  is  arranged.