Matura-Arbeiten Schuljahr 2009/10 Filmische Sequenzen von der Faszination alltäglicher GegebenheitenNeuverfassung und Illustration einer Kurzgeschichte von Stephen KingInterpretation des Musikstückes "Night on Bald Mountain" umgesetzt inTanz und KörperkunstInterpretation des Musikstückes "Night on baid Mountain" umgesetzt inTanz und KörperkunstDie Sicht eines Kindes in
Microsoft powerpoint - genital lumps and bumps - final version dr. olufunso olarinde [compatibility mode]
Consultant Physician, Dept of GU Medicine • To distinguish normal/variants of normal • Different causes of genital lumps and
of oily secretions that keep the skin healthy
& mistaken for warts –they do not change in size but warts do
(especially in women) & may be mistaken for warts
‘Cord like’ swelling, usually just below the head of the penis
Usually caused by a blockage in the lymphatics which then solidify
May occur after vigorous sex or masturbation
No treatment needed. Generally disappears – may take months!
glands located at the entrance of the vagina
• STI caused by the Human Papilloma Virus • Transmission is via direct skin to skin contact • ‘Fleshy’ lumps around the anogenital area
• >100 strains of the HPV have been identified
• ‘Low risk’ types HPV 6 & 11 account for about 90% of
• Warts may not appear for months/years after infection
• HPV may be transmitted in the absence of visible warts
– Purely cosmetic & depends on site, size, nature & number
• Podophyllotoxin cream – non keratinised
• Curettage – single/few pedunculated warts
• Surgical excision – extensive warts
• STI caused by Herpes Simplex Virus • Painful blisters on anogenital skin which break down to form multiple tender ulcers – Aciclovir 400mg tds x 5/7 OR 200mg 5x daily – Oral → NSAIDs, Codeine phosphate– Topical → Lignocaine gel – Usually mild & self-limiting– If regular – Aciclovir 400mg bd x 6-12 months– Valaciclovir 500mg OD x 6-12 months
lesions in moist areas of anogenital area
– Syphilis serology– Screen for other STIs– Treatment
• Penile Intraepithelial Neoplasia (PIN)• Vulval Intraepithelial Neoplasia (VIN)
• Commonly ‘high risk’ types 16 & 18
– Chronic inflammatory genital skin conditions
Penile Intraepithelial NeoplasiaVulval Intraepithelial Neoplasia
• Slightly raised, well defined skin lesions
pustule, warty area or ulcer with heaped up edges
Source: http://www.gplectures.co.uk/media/lecture_notes/Genitallumpsandbumps.pdf
The newest package to be used.
Neurology Headache and Pain Clinic Sachin R. Shenoy, M.D. Board Certified in Neurology and Pain Management Social security # _______________________ Cell Phone ____________________________ Best Phone # to call (please circle) Home Cell Referred By (Please List): Physician _________________________ Friend_________ Family _______________ Heard about us from _____ Newspaper ____ Yellow