Clinical Case: Mrs. Johnson's Vaginal Bleeding
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

Epidemiology of CIN and cervical carcinoma.
  • Historical data suggests a sexually transmitted agent.
    • early age of intercourse
    • multiple sexual partners
    • male partner with multiple previous sexual partners
  • Other factors or statistical significance, but uncertain etiology
    • cigarette smoking
    • use of oral contraceptives
    • multiparity
    • altered immune status
    • family history
    • lack of circumcision of male partner
 
But HPV infection is one of the most important factors.     Back
 

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