By Hwa A. Lim
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The major complaints are redness, dryness, Mark A. 1007/978-1-4419-6845-6_7, © Springer Science+Business Media, LLC 2011 43 44 Daniela Kroshinsky and peeling. As the skin becomes used to the medication, these will subside. The use of non-comedogenic (non–pore clogging) moisturizer can minimize this, but some adolescents will never be able to tolerate nightly use and should be encouraged to use the medication every other night or biweekly. Patients and parents should be counseled that the medication needs to be utilized for 2–3 months before any results are seen.
These are potentially serious issues that require adolescents to be referred to a gynecologist. The frequency of cervical screening may change if an adolescent has an abnormal Pap smear. The results of colposcopy determine the next steps in treatment. A colposcopy entails more direct visualization of the cervix using a special magnifying instrument called a colposcope. The cervix is stained with acetyl white solutions to look for abnormalities. If 42 Stephanie Corrado indicated, a biopsy will be taken.
3) apperance of the foreskin after retraction is seen in figure 4. Varicocele: This condition consists of enlarged and often tortuous veins that are usually seen on the left side of the scrotum since the left gonadal vein is longer than the right. The left spermatic vein inserts at a right angle into the left renal vein and has a higher likelihood of incompetent valves. This leads to a higher potential for blood to back Male Genitourinary Exam Figure 2. Phimosis. Figure 3. Paraphimosis. D. 29 30 Mark A.
