During an external genitalia examination of a woman,the nurse notices several lesions around the vulva.The lesions are pink,moist,soft,and pointed papules.The patient states that she is not aware of any problems in that area.The nurse recognizes that these lesions may be:

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HPV lesions are painless,warty growths that the woman may not notice.Lesions are pink or flesh colored,soft,pointed,moist,warty papules that occur in single or multiple cauliflower-like patches around the vulva,introitus,anus,vagina,or cervix.Herpetic lesions are painful clusters of small,shallow vesicles with surrounding erythema.Syphilitic chancres begin as a solitary silvery papule that erodes into a red,round or oval superficial ulcer with a yellowish discharge.Pediculosis pubis causes severe perineal itching and excoriations and erythematous areas (see Table 26-2).

During an External Genitalia Examination of a Woman,the Nurse Notices