HPV: over 100 strains, most infections self-limited, 90% clear within 2 years, no cure, can lay dormant in body for years, 40 strains cancerous, condyloma acuminatum lesions, common, plantar, genital warts, genital area, anus, groin, thighs, oral cavity, trachea, skin and mucosa transmission, 3 wks to 8 mos for warts to appear, 10-20 years for cancer cells, diagnosis made of wart appearance or Pap, cryotherapy, creams, CO2 laser, can cause oral/UR issues, can pass through birth, Gardasil: protects against 9 strains, 3 doses starting at 9, 3 doses if starting at 15, still given to those sexually active but may be less effective, HSV-1: cold sores, spread to genitals by oral, self-inoculation with poor hand hygiene, HSV-2: transmitted by sexual activity, can transmit through birth, most cases of genital herpes, requires viral shedding or through bodily fluids, establishes in sacral or trigeminal ganglia, latency and outbreaks, mucosal surfaces, vesicles 2-12 days after exposure, flu-like symptoms, lymphadenopathy, dysuria, urinary retention, nerve pain, painful vesicles in genital area, 2-4 weeks blisters break, very infectious, r/o herpes in in atypical UTI sx,

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