Derm
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each of the black spaces below before clicking
on it to display the answer.
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| pathogenesis of warts | human papilloma virus
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| how do you know it is a wart (varuccae) | warts obscure normal skin lines, frequently occur in sites of skin trauma, warts unlike callouses, demonstrate necrotic capillaries (patients think these are the seeds)
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| the common wart | verruca vulgaris
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| prevalence is 5% in children, typical patient aged 5-20 years, prefers hands, verrucous surface, thrombosed capillaries, loss of dermatoglyphics | verruca vulgaris
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| the flat wart | verruca plana
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| typical patient aged 5-20 years, prefers face/dorsal hands/wrists/knees, commonly spread by shaving, flat topped surface, pink to brown, usually multiple, frequently in linear formation | verruca plana
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| prefers pressure points on the feet, verrucous surface, thrombosed capillaries, often multiple, coalescent (mosaic warts) | verruca plantaris
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| the genital wart | condyloma acuminata
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| low risk agents for condyloma acuminata | HPV 6 or 11
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| high risk agents for condyloma acuminata | HPV 16 or 18
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| condyloma acuminata is the most common __ with 1 million new cases per year | STD
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| areas of distribution for condyloma acuminata | cervix, vulvovaginal skin, anus, penis, perianal skin
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| appearance of condyloma acuminata | lobulated surface, cauliflower like, usually gray or pink
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| appearacne of high risk condyloma acuminata | hyperpigmented
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| prevention of condyloma acuminata | Gardasil
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| what do most wart treatments actually do | kill infected tissue, but not the HPV
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| treat warts with cryotherapy until | white halo forms and lingers for 10 seconds
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| can repeart cryotherapy in __ weeks | 2-4
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| how many freeze-thaw cycles can be done | 2
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| physical destruction of warts | laser, cautery, duct tape occlusion, excision
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| chemical destruction of warts | cantharadrin (beetle juice), podophyllin, retinoids, salacylic acid, 5-FU
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| immunomodulation of warts | imiquimod (Aldara), cimetidine, squaric acid
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| warts may occur in greater number and last longer in __ | immunosuppressed persons
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| what to suspect when condyloma acuminate are seen in children | sexual child abuse
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| genital warts __ after treatment | frequently recur
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| cutaneous HPV infections will likely __ | spontaneously resolve
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Created by:
Abarnard
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