Female with perianal warts | Figure 1

Female with perianal warts

Female patient comes to the emergency room accompanied by her father, reporting inability to sit up. She mentions that 6 months ago she had sexual intercourse via anal intercourse and that 2 months ago she began to notice an outbreak in the perianal area. She does not provide further details. What could be the most likely diagnosis?


More about this case

ResolvedRareTrending

Why you should join Figure 1

Similar cases

13 years old, female. She started itching in her left hand 3 days ago. She said she had the same episode a few times, especially in the winter months. She denies allergy and denies contact with chemical substances. The examination is an area of erythema that affects part of the second finger, part of the palmar and lateral area of the left hand, with superficial micropapules.

30 years old female presented with vaginal discharge for 4 months. The discharge is watery, milky, odorless discharge during the whole month associated with dysuria, mild to moderate burning sensation during sexual intercourse, unilateral left sided suprapubic pain and back pain same side, no vaginal itching or edema or redness, no fever, no vomiting. The gynecologist prescribed these tx during these 4 months fluconazole, ectrose, clotrimazole, miconazole, sodium bicarbonate vaginal duoch, metronidazole. Once she discontinued the antifungal tx the discharge appears. Single sexual partner, no contraceptive used, investigations were unremarkable, pt_ve, CBC normal, abdominal us normal, vaginal swab culture was negative, GUE showed UTI and received tx with nitrofurantoin. Now the gynecologist wants to start with trimethoprim for one month. She came to me worrying about not being pregnant despite trying for 5 months to be pregnant. What's the most likely Dx?

24 y/o female c/o vaginal discharge and "possible exposure to STD." States she was previously tested in ED 1 week ago for vaginal itching and discharge and called to advise results were abnormal and to F/U with PCP but does not know results. States that incidentally has had rash for the past month that started on feet and has spread to legs, and is now starting to notice rash on back and proximal arms. Denies F/C, or any recent illness. Rash is not pruritic. Small red papules noted on BLE, proximal BUE, and lower back. Each papule has surrounding white halo approx 1cm. No palms or soles involvement. Any suggestions as to what rash could be?

29-year-old patient having unprotected sex. G4 P2 A2. Underwent sterilization in 2022. Approximately two weeks ago, visited the gynecologist due to a urinary tract infection. Was treated with Doxycycline and Flagyl for seven days, along with Fluconazole for Candida vaginosis. STI tests came back negative, and her symptoms resolved. Pt experienced occasional pink discharge. Two days after completing treatment, had her menstrual period, which lasted only one day. Four days after period ended and with no further discharge in between, noticed this on a daily feminine pad while using the bathroom. Patient came to clinic with these photos for evaluation and had consent and accepted to share this Information for professional case discussion. Any thoughts on what this could be?

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ECG that would warrant further work-up or is this just a pediatric ECG?