August 2nd 2024
HPV series initiation and completion was lower among adolescents seen at public vs private care settings and so was clinician guidance on vaccination in a new study.
HIV-Infected Women Have Higher Risk of Incident Invasive Cervical Cancer
May 8th 2013Key points for primary care physicians from a new study: HIV-positive women are vulnerable to invasive cervical cancer. This finding underscores the need for screening per guidelines and to follow-up on abnormal Pap smears.
All Ears: Chondrodermatitis Nodularis Helicis and Verruca Vulgaris
March 28th 2012Diagnostic challenge: Two case reports of easily treated and innocuous causes of lesions in the outer ear. Chondrodermatitis nodularis helicis is associated with long cellphone use. Verruca vulgaris is caused, like all other warts, by human papillomavirus.
Inflammatory Bowel Disease: 5 Things Primary Care Doctors Need to Know Now
January 19th 2012Patients with IBD may have discomfort for 3 to 5 years before a diagnosis is made. Many are treated unsuccessfully with antibiotics, anti-spasmodics, or narcotics. Here, read 5 important tips, plus a bonus point, to help streamline diagnosis and management.
Physicians Being Under-Paid for Vaccinations
October 14th 2011Physicians are being under-reimbursed for vaccinations nearly half the time, according to new data released by athenahealth. Most physicians are properly reimbursed for the cost of the vaccine itself, but getting paid for administration of the vaccine is another matter.
Politics and the HPV Vaccine: How Would You Respond?
September 20th 2011Minnesota Congresswoman Michelle Bachmann recently caught the attention of a lot of people when, during a television interview following a Presidential debate, she claimed that the HPV vaccine has “very significant consequences.”
Is this asymptomatic penile lesion an HPV infection?
March 3rd 2010For several weeks, a 33-year-old man has had an asymptomatic lesion on the head of the penis. He has had a new sex partner in the past few months but is unaware of any health problems she may have. What is the likely cause of this lesion?
HIV-Related Oral Lesions: Clues for Early Diagnosis
March 2nd 2009A 30-year-old man with a 15 packyear smoking history presented for a follow-up evaluation of an asymptomatic whitish lesion on the tongue of 4 months’ duration. The lesion had not responded to oral therapy with either nystatin or fluconazole. The patient was distressed about the lesion’s appearance and his inability to remove it with a toothbrush.
Adult and Adolescent Immunizations: When to Recommend the New Vaccines
June 2nd 2008During the past few years, several vaccines have been added to the adult immunization schedule. The human papillomavirus (HPV) vaccine is recommended for girls and women aged 11 to 26 years (minimum age, 9 years) to prevent cervical cancer, precancerous or dysplastic lesions, and genital lesions caused by HPV types 6, 11, 16, and 18.
ICAAC: Gardasil Provides Cross Protection Against Wide Array of HPV Types
September 20th 2007CHICAGO -- Immunization with Gardasil, a vaccine designed to prevent infection with human papilloma virus types 6, 11, 16, and 18 may also offer women significant protection against so-called "cousins" of those viral strains, reported researchers here.
Penile Cancer: Squamous Cell Carcinoma In Situ
July 1st 2007An 82-year-old man is seen for annual physical examination in the nursing home. He has resided there for 1 year because of the aggregate impact of multiple medical problems including, most prominently, laryngeal swallowing dysfunction associated with vocal cord paralysis.