A 60-year-old woman presented due to a pale area of discoloration on the labia. On examination a flat, white area on the right labia majora was noticed. A biopsy specimen shows dysplastic cells that occupy about half the thickness of the squamous epithelium, with minimal underlying chronic inflammation. In situ hybridization shows human papillomavirus type 16 DNA in the epithelial cells. What is the most likely diagnosis? a. Condyloma acuminatum b. Contact dermatitis c. Squamous hyperplasia d. Vulvar intraepithelial neoplasia e. Lichen sclerosus et atrophicus
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Step 1: The presence of dysplastic cells in the biopsy specimen indicates a potential pre-cancerous or cancerous condition. Show more…
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A 45-year-old male has come to a dermatology outpatient clinic because he has an area of discoloration (area is more pale) of skin about an inch across on his right forearm. The patient reports that he noticed the spot a couple of months ago and that it has slowly increased in size. The male reports he has spent parts of the last 10 years in Africa working as a missionary. He reports he has not had any other serious illness other than malaria. The doctor does a test of his ability to sense touch in the discolored area. The doctor thinks the sense of touch is reduced. The doctor then takes a biopsy of his skin in the lesion. Test results: No acid-fast positive organisms were observed by microscopic exam of scraping PCR test gave positive result for M. leprae a. What form of this illness does this individual have? b. What are the potential complications or outcomes of this disease if it is untreated? c. Can this illness by treated with drugs? d. Is the missionary likely to transmit this disease to others?
Adi S.
Patient is a 69-year-old woman with a biopsy-proven squamous cell carcinoma of her left forearm measuring 2.3 cm in greatest diameter. The area was marked with 4 mm gross normal margins. This area was removed as drawn, and the surgeon then incised his planned rhomboid flap, elevating the full-thickness flap into the defect and closing the sites in layers using 3-0 Monocryl, 4-0 Monocryl, and 5-0 Prolene. The patient tolerated the procedure well. Final measurements were 2.7 cm x 2.1 cm. What CPT® code(s) is/are reported? A.) 14020 B.) 14020, 11603-51 C.) 13101, 11603-51 D.) 15100, 11603-51
Part D: Application 1. A common complaint among pregnant women is the appearance of a sudden sharp pain, of short duration, felt in the lower belly, especially after walking. The pain doesn't last long but can cause worry. This pain is a result of one of the ligaments of the reproductive system contracting with unexpected strength. Which ligament is likely to cause this pain? 2. A woman feels an interior lump near her labia. A day later, the area is larger and painful to the touch. When she sees her doctor, he diagnoses her with an infection. An infection of what gland fits these symptoms? 3. A Pap smear is an examination of cervical cells recommended for women after they become sexually active. a. This examination is looking for what problem? b. If small abnormalities are found, cryocauterization might be employed. Break down this name to determine what this treatment does. 4. Gonorrhea is a sexually transmitted disease that can be spread not only to the vagina but also to the anus or mouth. What do these tissues have in common? 5. Pelvic inflammatory disease (PID) affects around 750,000 women in the United States each year. Inflammation results in a swelling of the involved tissue and pain in the area. What are possible negative consequences of swelling in the female reproductive system?
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