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Human Papilloma Virus HPV

Human Papilloma Virus HPV. CAPT Mike Hughey, MC, USNR. Clinical Warts. Cauliflower-like lesions White or flesh-colored May cause itching/burning May have no symptoms. Sub-clinical Warts. Flat Virtually invisible May cause itching/burning May have no symptoms

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Human Papilloma Virus HPV

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  1. Human Papilloma VirusHPV CAPT Mike Hughey, MC, USNR

  2. Clinical Warts • Cauliflower-like lesions • White or flesh-colored • May cause itching/burning • May have no symptoms

  3. Sub-clinical Warts • Flat • Virtually invisible • May cause itching/burning • May have no symptoms • Identify with vinegar and4-10X magnification

  4. Transmission • Skin to skin contact • Condoms offer little protection • Don't treat partners unless symptomatic

  5. Relationship to Cancer • Appears to be a pre-requisite to cervical cancer • Vast majority of those with HPV do not develop cancer • Smoking, immune response are co-factors

  6. Treatment of Warts • All treatment involves destroying the patients skinwhich has grown in a strange and annoying way. • You are not eliminating the virus, nor eliminating any chance of re-occurrence. • Don’t overtreat.

  7. Treatment with Cryosurgery • Liquid nitrogen • Nitrous oxide/CO2 gun • Use only on wart • DON’T USE INSIDE THE VAGINA • Multiple treatments

  8. Treatment with Podophyllin • Wash off in 4-6 hours • Hepatotoxic, nephrotoxic • Small amounts • Don't use inside vagina • MULTIPLE TREATMENTS

  9. Other Treatments • Bichloracetic Acid (BCA or TCA) • Cut them out • Burn them off • Electrocute them • Nothing (50% resolve in 1 year)

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