# Exam

HistoPath:
No Bx. Referred to surgery for fistula/abscess


HRAText:
HRA two weeks later: circum awe mostly L-

HistoPath:
HSIL-III bx taken two weeks later bc of recent liver tx


HRAText:
Circum internal LSIL/HSIL
External LSIL/HSIL in setting of decreased CD4

HistoPath:
No Bx since low CD4, f/u 5 months later was LSIL pap and bx


HRAText:
Internal and external warts, focal areas of HSIL


WhyHere:
Screening. No hx of anml anal pap or warts


HRAText:
IA minor LSIL, scar tissue c/w prior hx of fistula. No warts of HSIL.


HRAText:
IA multiple warty lesions and nonstain awe


HRAText:
Warts intra and perianal, treated with vinegar, No Bx


HistoPath:
HSIL-II, HSIL-II to III, hyperkeratosis and reactive changes, LSIL


HRAText:
IA large internal HGAIN and large PA lesion


WhyHere:
hx of ASCUS anal pap and no prior anal warts

HRAText:
Ia atypical sq metaplasia w/features of HSIL


HRAText:
IA HSIL lesions and additional LSIL wart


HRAText:
IA and PA diffuse warts, penile granular warts


WhyHere:
Perianal dysplasia and duct pigmentation

HRAText:
Internal: Atypia/LSIL r/o HSIL, tags; External awe


HRAText:
Multiple areas with vascular epithelium sugg. Of CA


WhyHere:
hx of ASCUS anal pap and warts, hx Hlymph


HistoPath:
keratinized SQ mucosa and reactive changes


# OriginalDataDEID

HistoPath:
No Bx. Referred to surgery for fistula/abscess


HRAText:
Unable to complete exam until 4 months later and did not have a Bx (HSIL-II)  which was IA HSIL with circum LSIL and PA LSIL


HRAText:
HRA two weeks later: circum awe mostly L-

HistoPath:
HSIL-III bx taken two weeks later bc of recent liver tx


HRAText:
Circum internal LSIL/HSIL
External LSIL/HSIL in setting of decreased CD4

HistoPath:
No Bx since low CD4, f/u 5 months later was LSIL pap and bx


WhyHere:
eval of L sided anal pain. No hx of anal warts

HRAText:
IA very minor vage awe, no HSIL. No fissure


HRAText:
Internal and external warts, focal areas of HSIL


HRAText:
IA HSIL and several moderate sized condys


HRAText:
aytpia, no distinct LSIL/HSIL, SQ Metaplasia


WhyHere:
Screening. No hx of anml anal pap or warts


HRAText:
IA minor LSIL, scar tissue c/w prior hx of fistula. No warts of HSIL.


HRAText:
IA multiple warty lesions and nonstain awe


HRAText:
IA flat lesions and raised warty lesions


HRAText:
Warts intra and perianal, treated with vinegar, No Bx


HistoPath:
HSIL-II, HSIL-II to III, hyperkeratosis and reactive changes, LSIL


HRAText:
IA large internal HGAIN and large PA lesion


WhyHere:
hx of ASCUS anal pap and no prior anal warts

HRAText:
Ia atypical sq metaplasia w/features of HSIL


HRAText:
IA HSIL lesions and additional LSIL wart


HRAText:
IA and PA diffuse warts, penile granular warts


WhyHere:
HSIL Cyto and hx of AIN III & anal warts

HRAText:
minor discrete we, no obvious HSIL. No Bx


WhyHere:
Perianal dysplasia and duct pigmentation

HRAText:
Internal: Atypia/LSIL r/o HSIL, tags; External awe


HRAText:
Tissue tags at anal opening.Internal: mild awe.  No Bx


HRAText:
Multiple areas with vascular epithelium sugg. Of CA


HRAText:
IA lesions too large for TCA, RTC for IRC. No pap or BX on RTC 4 months later


HRAText:
IA lesions c/w LSIL, potential HSIL; PA warts


WhyHere:
hx of HSIL on PA tag bx , not immunocomp

HRAText:
IA minor atypia, no distinct HSIL;PA minor leukoplakia around area of removed tag


HRAText:
IA Metaplasia, no HSIL or LSIL seen, normal exam


WhyHere:
hx of ASCUS anal pap and warts, hx Hlymph


WhyHere:
hx of anal wartts at verge and r/o dysplasia vs. C


HistoPath:
keratinized SQ mucosa and reactive changes


WhyHere:
hx of HSIL anal pap and warts, hx of liver tx

HRAText:
IA HSIL, Bx deferred d/t low plts, pt did not return


WhyHere:
hx of HSIL-II to III anal pap and warts, tx


WhyHere:
hx of LSIL anal pap. No hx of anal warts

HRAText:
IA poss. HSIL and small condys
(Cytology, HRA and Bx done in one visit on return)


WhyHere:
hx of LSIL anal pap and warts, hx prostate CA


WhyHere:
hx of Bowen rectum VIN-III, s/p partial vulvectomy

HRAText:
IA nonstain awe areas, PA lightly pigmented areas but no PA bx


HRAText:
IA obvious condys and LSIL, some areas sus. For HSIL, refer to surgery for bx and tx

HistoPath:
No Bx. Referred to surgeon for bx and tx, no report in chart


WhyHere:
hx of colon CA, and AIN-III anal bx and warts


WhyHere:
hx of LSIL anal pap  and CIN-II to III by bx


HistoPath:
No Bx. No evidence of HSIL or conclusive for LSIL


WhyHere:
immunocomp.on IVIG, hx VIN III, ASCUS anal pap


HRAText:
minor atypia/LSIL scarring c/w prior tx. No Bx


HRAText:
Pap: HSIL-keratinizing dyplasia. Circumferential HSIL and external warts


HRAText:
Internal and external areas of LSIL, no obvious HSIL


HRAText:
several internal lesions of various grades


HRAText:
Multifocal small and large warty lesions, No Bx plan to tx warts


HRAText:
Multiple Condy intra and perianal, No Bx plan for IRC of condy.


HRAText:
Internal Hem. and warts, No evidence of HSIL


HRAText:
Anal CA, defect in mucosa s/p CMT two months prior.


HRAText:
Perioanal lesion suspicious for invasion

HistoPath:
Perianal external HSIL-II to III with chronic granulation


WhyHere:
here for consultation RE dx of anal CA T1N0


HRAText:
External anal warts, Internal areas of CM and L-


HRAText:
IA Limited internal lesions, poss. HSIL but all c/w atypia


HRAText:
Thickened epi. c/w scar s/p CMT, telangiect. No anal HSIL or CA.


WhyHere:
hx of HSIL-II to III. No hx of anal warts


WhyHere:
Hx of HSILII s/p laser. Hx of anal warts

HRAText:
Perianal/Verge: HSIL with poss. Invasion. Surgical excision 1 mon. later HSIL-III on bx


HRAText:
Diff. due to int. hemm., areas of internal slight awe L-


HRAText:
Focal internal  warty lesions and awe/CP areas


HRAText:
No discrete lesions. Slight awe/ L+. No Bx


HRAText:
Diffuse External/Internal CP with vascular changes, no discrete LSIL or HSIL


WhyHere:
hx of HSIL-II s/p IRC, and hx of anal warts


WhyHere:
hx of HSIL-III pap and anal warts, Bowens Dx

HRAText:
Internal: circum. warts; external pigmented lesions


WhyHere:
hx of LSIL anal pap, no hx of anal warts

HRAText:
Int: LSIL with atypia; Ext: atypia and warts


WhyHere:
hx of HSIL on anal bx and external warts


HRAText:
Int & Ext: ?limited HSIL vs RSM, small condy


HRAText:
Lesion at verge entending out to granulating edges

HistoPath:
Verrous hyperplasia with acute/chronic inflam.


WhyHere:
hx of HSIL-II to III on bx and ext HSIL bx

HRAText:
Internal warts and external hyperpigmentation


HRAText:
External ulcerations and circum. Erythema


WhyHere:
hx of ASCUS anal pap and anal warts; cervical LEEP


HistoPath:
Could not tolerate an exam in office so referred for HRA and destruction of lesions, no Bx taken


HistoPath:
External benign melanocytic nevus; Internal LSIL


HRAText:
Internal r/o HSIL with warts, polyp and glands; external dermatitis

HistoPath:
Int. SQ mucosa with acute/chronic rxv changes on ulcer and polyp; ext. hyperkeratosis and rxv changes


HRAText:
IA focal area of nonstain awe, some PA tissue tags. No warts


HRAText:
IA and PA warts. Started on Aldara so NO PAP OR BX.


HRAText:
Internal increase in vessels c/w and external clean ulcer


HRAText:
Int and circum. circum areas of LSIL and HSIL


HRAText:
Internal wart, CD4 count was 353 6 mon later after first visit


WhyHere:
hx of stage IIIB anal CA s/p CMT and XRT


WhyHere:
hx of HSIL anal pap and s/p fissure repair w/scarr

HRAText:
Pap smear done at OSH within 1 month, so no repeat. IA fissure and leukoplakia and some L- areas


HRAText:
Dx with Invasive SQ CA T1N0M0 from colonoscopy bx.


HRAText:
Extensive internal and external warty lesions


WhyHere:
hx of HSIL anal pap, no hx of anal warts


HRAText:
PA warts, Penile ulceration near urethra with induration, poss Bowens


WhyHere:
hx of ASCUS anal pap, no hx of anal warts


HistoPath:
internal: HSIL-II to III; external HSIL II and III


HistoPath:
ASC-H, Papillary LGIL in immatue SQ metaplasia


WhyHere:
hx of HSIL-II to III anal pap and warts tx by surg

HRAText:
IA and PA poss HSIL with obvious condy and LSIL


WhyHere:
hx of ASCUS anal pap, VIN and vulvar warts


WhyHere:
hx of  cervical CA and skin tags with ISCA


HRAText:
IA and PA warts. Newly dx HIV, no CD4 and VL.


WhyHere:
referred for care  pt w/T2 rect SQCCA s/p XRT/CMT


HRAText:
multiple intranal condy, with perianal lesion


HistoPath:
No bx, needs surgery to remove condy lesion


WhyHere:
no hx of anal warts but pain w/ defacation

HRAText:
IA moderate amt of condy, HSIL, doubt CA. Warts were tx surgically by electrocautery.


HRAText:
IA areas warts, and PA raised pigmented areas


HRAText:
IA no evidence of residual CA, poss. HSIL


WhyHere:
hx of ASCUS anal pap. No hx of anal warts


WhyHere:
hx of tx HSIL anal pap tx, and anal warts


HRAText:
large internal lesion and external large external tag


HRAText:
extensive internal and external anal warts


HRAText:
IA atypia SQ metaplasia. CD4 not in chart, nadir 11


HRAText:
IA and PA warts. CD4 and VL not in chart


WhyHere:
hx of HSIL anal pap and HSIL-II anal bx 1mon prior


HRAText:
IA some nonstain awe areas and course punctations.


HRAText:
IA minor atypia/LSIL, no HSIL, PA 2 lesions with thickening and pigment. Changes


HRAText:
diffuse circum internal and external LSIL


WhyHere:
hx of LSIL anal pap s/p IRC, no hx of anal warts


HRAText:
no HSIL seen, IA and PA warts. NO CD4 in chart


HRAText:
Ia appears LSIL, several focal areas of nostain awe


HRAText:
No IA or PA lesions. Penile Bx was LSIL condy


HRAText:
more extensive LSIL, limited HSIL with fistula scar


HRAText:
IA single discrete lesion no evidence of HSIL


HRAText:
external condys and internal lesions of nml vs LSIL


WhyHere:
hx of ASCUS anal pap done two months prior

HRAText:
single area of metaplasia seen. No repeat pap


HRAText:
external warts, large ulcerative lesions


HRAText:
IA residual LSIL and condys. PA HSV vesicles and warts/tags


WhyHere:
hx of anal warts and on immunosuppresants


WhyHere:
hx of HR HPV and sx, no hx of anal warts


HRAText:
IA warts but no obvious HSIL lesions and PA warts


HRAText:
large external obstructive condy, No pap.


HRAText:
IA awe, PA pigmented lesion, CM and leukoplakia


HRAText:
IA minor atypia and benign colonic polyp


HRAText:
internal ulcerations and glandular lesions


WhyHere:
hx of HSIL-II anal bx and ASCUS anal pap


WhyHere:
hx of rectal polyp w/AIN III, vulvar warts


WhyHere:
hx of IA growth snd no prior hx of anal warts

HRAText:
IA warts and flat lesion adjacent to wart


WhyHere:
hx of ASCUS anal pap and tx HSIL pap, hx warts


HRAText:
internal and external warts, internal flat lesion


WhyHere:
hx of anal warts showing LSIL s/p laser ablation


HRAText:
diffuse circum. Warts internal and external. Internal HSIL. Pt doesn't know CD4 and VL.


WhyHere:
hx of HSIL anal pap. Tx with aldara and fulgurat

HRAText:
IA atypia r/o HSIL, single wart, PA flat warts


HistoPath:
No Bx will plan for IRC since painful hemorrhoids


HRAText:
large amount of condy with a single area supicious of HSIL


HRAText:
IA limited internal HSIL and LSIL. PA warts


HRAText:
IA & PA diffuse LSIL w/focal areas of SIL


WhyHere:
small bump on buttocks, no hx of anal warts


HistoPath:
No Bx but f/u with poss. fulguration in OR


WhyHere:
hx of ASCUS anal pap and HSIL anal bx. No warts


HRAText:
lesion at  anal verge, vulva and internal


WhyHere:
hx of anal polyp grade I-II, referred from OSH

HRAText:
IA warts and flat areas of awe, no HSIL seen


WhyHere:
hx of hemorrhoids with hx of HSIL cervical pap


HRAText:
IA minor awe and honeycombing, with anal mucosa scarring


HRAText:
Pt seen in before 2006. These results are in 2006.


WhyHere:
hx of solid organ transplant and LSIL anal pap


HRAText:
external pigmented lesion, internal areas of nonstain awe


WhyHere:
hx of HSIL anal pap and warts;  LSIL on cervical

HRAText:
No repeat pap, last one HSIL-II to III anal pap 1.5 mon prior


HRAText:
**Not a new patient, was seen before in 2000 and had a full w/u


WhyHere:
hx of hemorroidectomy s/p tx, and anal mass


WhyHere:
hx of increasing growth and internal hemorrhoids


HRAText:
no penile lesions, multifocal internal warty lesions


HRAText:
penile condys and lesions tx, internal bx taken


WhyHere:
LSIL anal pap 1mon prior. VIN. CLL on CMT

HRAText:
PA HSIL seen and several warts. IA  LSIL


HRAText:
extensive intranal and perianal HSIL/LSIL


WhyHere:
hx of HSIL-II to III anal pap despite hx of fulgur


HRAText:
focal areas of awe internally, tag of PA tissue

HistoPath:
ASC-H, tag is benign keratinized SQ mucosa


HRAText:
internal and external hemorrhoids, and focal internal area of awe

HistoPath:
No Bx, wait for next visit due to increase sensitivity.repeat bx not done as PCP wanted to wait.


HRAText:
IA sq metaplasia but HSIL can't be eval. w/o bx. No pap. Pt was s/p LN2/TCA tx and needed to be further evaluated


HRAText:
IA atypical areas of SQ metaplasia  c/w prior tx of condy. 1 IA lesion with HSIL features


HRAText:
internal and external warts and tags. Pap not done as done 2.5 months prior


WhyHere:
hx of LSIL anal pap and anal fissure repair


HRAText:
internal warts with fistula opening. No pap or bx. Refer to tx fistula repair


WhyHere:
hx of HSIL anal pap, AIN-II to III rectal nodule


HRAText:
internal awe granular, external PA awe nodule, pigmented, ulcerated


WhyHere:
hx of HSIL anal pap and rectal mass, +inguin. LN

HistoPath:
No Bx. Inguinal Node was MAC/AFB and tx for it instead.


HRAText:
IA lesions with features suggestive of cancer


WhyHere:
here for penile warts refractory to tx w/pody, LN

HRAText:
No IA exam. No Pap or BX. Penile warts and fungal infection at scrotum.


HRAText:
No cervical  exam because of vaginal stenosis and would be examed under anesthesia


HRAText:
NO IA EXAM, external ulcerated areas, refer to surgery


HRAText:
Penile pearly papules. No anal pap or Bx done.


WhyHere:
hx of HSIL anal pap. No hx of anal warts

HRAText:
external diffuse granularity, internal lesions


HRAText:
LSIL anal pap not repeated as done within 1 month


WhyHere:
hx of LSIL, s/p pancr/renal tx, immunocompromised

HRAText:
IA warts. No Bx, pt on Coumadin but no Bx on f/u visit as repeat pap was LSIL


HRAText:
perianal HSIL, and internal extensive condy


HRAText:
external condys poss HSIL, internal lesions poss. HSIL vs. Mature SM


WhyHere:
hx of LSIL anal pap and warts, S/P BM TX on immuno


HRAText:
IA lesions nonstain awe, CD4 and VL not in chart


WhyHere:
hx of LSIL anal pap, SQCA s/p CMT and warts

HRAText:
IA no evidence of HSIL or CA, nonspecific changes s/p XRT


HRAText:
perianal lesion poss HSIL, internal condys


WhyHere:
hx of SQCA found by colonoscopy. Referred.

HRAText:
internal friable c/w CA and HSIL. No pap or BX but scheduled for CMT/XRT


WhyHere:
annual check. Nml paps. and hx of anal warts


WhyHere:
hx of HSIL anal bx and warts. Hx of LSIL pap


HRAText:
internal circum condys and perianal ulcers, No Bx, as pt reeval one month later given complicated condn with diffuse dx, low plts and diverting loop ileostomy and immunocomp. was Re-eval in one month.


HRAText:
internal areas of nonstain awe, external wart


HRAText:
IA residual from resection one week prior with fibroepithelial polyp, No pap or Bx done until yr later with pap was nml


HRAText:
external condys with internal lesions, r/o HSIL


HRAText:
IA HSIL and diffuse LSIL with probably fistula refer to colorectal surgeon


HRAText:
IA HSIL/LSIL r/o SCCA external since central ulceration


WhyHere:
here for recurring pubic warts, tx with LN2

HRAText:
No pap or Bx. PT has a hx of aSC-H pap and LSIL anal bx. Hx HR HPV type.


WhyHere:
hx of LSIL anal pap and HSIL bx. And warts

HRAText:
external diffuse Bowen's dx, r/o internal HSIL


WhyHere:
hx of Anal SQCCA s/p CMT & XRT no hx warts


HRAText:
IA atypia or LSIL, minor granularity, No HSIL


WhyHere:
hx of LSIL anal pap, hx Crohns, hx anal warts


HRAText:
IA raised awe and atx vessels, PA ulceration with some awe


WhyHere:
hx of UC on meds, hx HSIL anal pap and warts


HRAText:
?HSV? vs traumatic irritant, doubt HSIL likely extensive metaplasia


HRAText:
IA warts and flat and raised diffuse LSIL, minor PA flat and raised


WhyHere:
hx of HSIL anal pap and SQCA of skin leg


HRAText:
hx LSIL anal pap 2 months prior, not repeated by just bx


WhyHere:
hx of anal warts & PA fissure w/colon w/tubul aden

HRAText:
IA focal area of nonstain awe and anal papilla


HRAText:
extensive circum internal, and perianal circum hyperpigmented


WhyHere:
hx of LSIL anal pap, hx bowenoid pap. of penis


HRAText:
IA extensive warty lesions some HSIL appearing, PA pigmented lesions


WhyHere:
hx of invasive anal SQCCA s/pCMT/XRT, anal warts

HRAText:
IA chronic changes but no evidence of HSIL or CA


HRAText:
IA focal awe with mosaic, PA warty lesion


WhyHere:
partner with HSIL and no hx of anal warts, no pap


WhyHere:
hx of HSIL anal pap, s/p AINIII excision colon pol

HRAText:
no evidence of HSIL, papillae but no lesions


WhyHere:
hx of anal warts, immunosup 2/2 steroids


WhyHere:
hx of ASCUS anal pap and vulvar warts tx


WhyHere:
hx of HSIL-III anal bx sp tx & anal warts

HRAText:
IA very prom. lesions extending into distal rectum


HistoPath:
HSIL-II to III (after a return since had excoriation/irritated and couldn't be bx)


HRAText:
No HRA or anal exam. No pap or Bx. Penile lesion= RSM


WhyHere:
hx of cirrhosis, anal LSIL bx, hx of tx anal warts


WhyHere:
hx of LSIL anal pap. + penile wart, no PA warts


HRAText:
external multifocal warty lesions and hemorrhoids


HRAText:
external warts, internal small areas of awe


HistoPath:
No Bx since will have surgical fulguration of extensive warts


HRAText:
external small wart clusters,external lesions, CD4 not in chart


WhyHere:
hx of HSIL anal pap, hx of bowen dx R flank


HRAText:
granular warty lesions, focal area of awe


HRAText:
focal warty lesion, CD4 or VL not in chart (OSH)


HRAText:
PA verge warts and HSIL.. BX deferred to PAP results RTC in 1 month. (see below for results)


HRAText:
external thickened areas and internal extensive areas of abn vessels


HRAText:
PA thickened lesion at the verge c/w HSIL


HRAText:
unsat. colpo exam with large int. hemorrhoids bx nonstain awe


WhyHere:
hx of AINIII pap and warts, been tx in past w/IRC


HRAText:
No pap or Bx. No penile or urethral meatusor scrotal lesions.


HRAText:
multifocal PA and IA warts with warty lesions


WhyHere:
hx of ASCUS anal pap, breast CA on chemo

HRAText:
focal internal area of awe but not significant.


HRAText:
internal no distinct lesions but L-, not LSIL or HSIL


HRAText:
IA papilla and hemorrhoid. No clear lesions


HRAText:
IA prominent SQ metaplasia. No evidence of HPV related lesions


HRAText:
wague area but L+, some fine vascularity


WhyHere:
hx of ASC-H anal pap, no hx of anal warts


HRAText:
No repeat pap, done 1.5 months prior. Scattered IA and PA areas.


HRAText:
external warts, internal area of HSIL. No pap done 4 months prior


HRAText:
Did not do exam d/t pain, has not f/u yet


HRAText:
IA areas of awe and PA benign tissue tag


WhyHere:
hx of ASCUS anal pap and SISQCA bx and warts


WhyHere:
hx of cervical HSIL s/p LEEP & 5FU, LSIL anal pap


HRAText:
No Evidence of residual CA or any HPV lesions. PA sebaceous cysts


HRAText:
No pap. Done within 1 month as HSIL-II. Internal lesion


WhyHere:
hx of HSIL anal pap and LSIL anal bx by colono.


WhyHere:
hx of ASC-H anal pap. No hx of anal warts


HRAText:
poor exam d/t hemorrhoids and recent banding of hemorrhoids.


HRAText:
No repeat anal pap done 2 months prior (HSIL at outside lab with no grade)


HRAText:
external  lichenified, internal exten awe


HRAText:
multiple areas of awe sug of HSIL vs metaplsia


WhyHere:
hx of SQCA of anus s/p CMT and XRT, HR HPV


HRAText:
multifocal warty lesions. No areas of HSIL


HRAText:
anal tag, pap as LSIL 8 days prior. No distinct lesion.


HRAText:
IA raised warty and one flat area with HSIL not tx. Has been seen by NJ previously. No data in chart.


HRAText:
IA focal area of awe and micropapilla warty lesion


HistoPath:
No Bx bc need surgical intervention (which later revealed HSIL)


HRAText:
some IA papilla and focal areas of awe and external tags and warts, external hyperpigmented areas,no ex bx.


HRAText:
has PA fungal infxn, fistula and HSIL and warts


WhyHere:
referred for poss anal CA, but HSIL-II to III bx


WhyHere:
hx of ASCUS anal pap. Partner with warts


HRAText:
chronic internal changes, no evidence of HSIL


HRAText:
No pap or bx as pt referred for f/u after SQCCA anal resection.


HistoPath:
No Bx. No evidence of HSIL or any lesions


WhyHere:
s/p lung tx and immunocomp, and hx HGVIN/VAIN

HRAText:
had pap one month prior as LSIL, some internal anal papillae and condys


HRAText:
internal limited HSIL and diffuse LSIL, external diffuse HSIL


HRAText:
internal hemmorhoids awe, some HGIL appearing areas


HRAText:
IA multiple areas suggestive of metaplasia,


HRAText:
PA pigmented and warty, internal areas of awe


HRAText:
extensive warty lesions, nonstain awe areas, hard external lesion


WhyHere:
hx of ASCUS anal pap, PA, vulvar and IA warts

HRAText:
extensive large warty lesions w/vascul., need OR procedure, extensive PA and vulvar warts


WhyHere:
hx of ASCUS anal pap and warts s/p laser


HRAText:
has multiple PA hyperpigmented areas and internal lesions


WhyHere:
hx of LSIL anal pap with PA warts s/p tx TCA

HRAText:
few PA warts, had ASCUS pap one month prior. No internal lesions


WhyHere:
hx of HSIL anal pap and bx and anal warts


HRAText:
No pap. Penile warts were treated with LN2


HRAText:
internal and external  areas nonstain awe

HistoPath:
HSIL-II to III at vulva/PA, and RSM in anus


HRAText:
warts and flat lesion with HSIL features


HRAText:
IA area of awe but no internal lesion. , and PA hemorrhoids


HRAText:
IA warty lesion/nonstain awe and punctations


WhyHere:
hx of anal warts seen on colono. No hx gen. warts

HRAText:
several internal condys and SQ metaplasia, external tag


HistoPath:
IA and PA verrucous hyperplasia with markes hyperplasia


HRAText:
IA mostly LG changes, possibly HSIL, extensive awe c/w LSIL and some small condy


HRAText:
multiple internal warty lesions, no external lesions


HRAText:
IA focal area of awe, PA lesions,PAP: HSIL-II to III pap 4 months prior


WhyHere:
recent  SQCA anal polyp needing evaluation

HRAText:
widespread internal  HSIL worrisome for invasive SQCA


WhyHere:
hx of anal warts prev tx, hx HSIL-II-III anal bx


HRAText:
IA probable HSIL and additional LSIL, PA condys


HRAText:
did not do exam since s/p hip replacement, and did not f/u


HRAText:
IA slight awe, no mentioned of CD4 and VL in chart


HRAText:
penile ulcer and hand ulcers/warts. No pap or Bx.


WhyHere:
hx of anal warts, oral hairy leukoplak/warts

HRAText:
IA large warty lesions and PA firm warty lesion


HRAText:
IA some awe + hemmorhoid making visualization diff.


WhyHere:
hx of anal warts with multiple treatments


WhyHere:
hx of PA HSIL-III/CIS, no hx of warts, hx bowens

HRAText:
internal HSIL, external areas of pigmentation change


WhyHere:
hx of LSIL pap, hx HL s/p CMT/XRT; hx CIN/VIN/VAIN

HRAText:
focal internal area of nonstain awe. No record of CD4 counts


HRAText:
diffuse areas of HSIL and LSIL internal and external


HRAText:
chart does not contain any H&P papers of lab results


HRAText:
IA some vague and focal areas of awe, CP and L-


WhyHere:
hx of LSIL anal pap, SQCCA of throat, HPV 16


HRAText:
difficulty visualizing TZ but large internal warty lesions


WhyHere:
hx of dysplastic sq polyp HSIL-II to III

HRAText:
internal circum. Lesions HSIL, but areas of LSIL, pigmented external area

HistoPath:
HSIL-II to III, exter. Seborrheic keratosis


WhyHere:
hx of multiple abnl paps, worst HSIL, last LSIL


WhyHere:
hx of HSIL-III anal bx and HSIL-II colono., warts


HRAText:
IA minor awe lesions and warts, no evidence of HSIL, PA wart


WhyHere:
no hx of anal warts, LSIL anal pap 3mon prior

HRAText:
No repeat pap, recent 3 months prior as LSIL


HRAText:
condys on penis. No IA exam. No PA warts


HRAText:
IA likely HSIL but hemorrhoids preclude adequate exam


WhyHere:
hx of vulvar warts and ASCUS anal pap, VAINI/VINI

HRAText:
internal warts and external warts; takes predisone for SLE, external pigmentation; no repeat pap as ASCUS 2 months prior


HRAText:
internal nonstain awe poss. HSIL, external focal nodularity and benign tags


HRAText:
internal areas of nonstain awe, PA bumpy lesion

HistoPath:
hyperkeratosis and rxv change of ext, benign epi internal


HRAText:
internal lesions biopsied, external should be surgically excised


HRAText:
IA HSIL appearing lesions and extensive warty lesions a


WhyHere:
hx Crohns on remicade, hx of ASCUS anal pap

HRAText:
internal discrete warts, external warts and leukoplakia


HRAText:
few focal areas of awe and warty lesions


HRAText:
PA areas c/w AIN, IA large areas of lesions


WhyHere:
hx of ASCUS anal pap. Hx anal ca sp CMT/XRT


HRAText:
many discrete lesions HSIL & LSIL diffuse disease


HRAText:
IA nonstain awe area and large warty lesion


HRAText:
prominent meta but lesions suggestive of HSIL


WhyHere:
hx of LSIL anal pap, anal fistula repair

HRAText:
multifocal warts  and warty papilla, multifical PA warty lesions


HRAText:
no repeat pap as came out HSILII- to III inhouse 1.5 months


WhyHere:
no hx abn cx paps or warts, hx of spreading polyp

HRAText:
HSIL + condyloma; hx of superficially spreading polypoid lesion, hx of LSIL anal bx on screening colonoscopy


HRAText:
IA and PA warts. Repeat visit in one month after healing s/p fulguration of warts and BX revealed HSIL-II to III


HRAText:
few focal areas of nonstain awe, PA pigmented lesion


WhyHere:
hx of LSIL anal pap, s/p liver tx; no warts


WhyHere:
hx of HD stg IIIB s/p XRT, VIN I-III s/p laser

HRAText:
No pap. IA HSIL and LSIL, PA dx. Just gave Aldara or efudex


HRAText:
areas of nonstain awe IA and PA verrucous lesions w/vessels and ulcerations r/o CA

HistoPath:
IA-LSIL, PA-HSIL-III w/fx sugg of invasion


HRAText:
PA hemorrhoid, IA nonstain awe with anal papilla


WhyHere:
hx of rectal CIS tx, no vulvar dx or cervical pap


WhyHere:
hx of HSIL anal pap w/tx by IRC and anal warts


HRAText:
had nml anal pap at OSH one month prior, IA lesions LSIL/HSIL


HRAText:
NOT A NEW PT. seen several times since '02 by Dr. Berry


HRAText:
IA HSIL and raised papillary lesion,  PA condy


WhyHere:
hx of abnl pap, HSIL-III anal bx and warts

HRAText:
IA circum warty dx, LSIL and HSIL not seen


HRAText:
No pap and bx done since pap done one month prior


HRAText:
IA areas of nonstain awe and fical warty lesion


HRAText:
had no pap or Bx done on first visit but f/u at CPMC by another provder was LSIL pap and HSIL-II to III bx w/in three months


WhyHere:
hx of HSIL/CIS and pap, no hx of anal warts


WhyHere:
immunocomp., hx of HSIL-III/CIS anal pap


HRAText:
focal slight IA area of awe, if pap anml will tx next visit.


HistoPath:
No Bx since has his own provider and recommended ablation. Saw Dr. Berry for second opinion since has on Bx HSIL 7 months prior


HRAText:
IA lesions sugg of LSIL and some HSIL, PA warts


HRAText:
IA probable HS/LSIL changes. Nonstain awe


HRAText:
IA pigmented warty lesion circumferentially


HRAText:
IA background of chronic changes/thickening ?related previous surgery


WhyHere:
hx of LSIL anal pap, cx warts, anal warts


HRAText:
had an ASC-H pap 2 months prior at OSH, IA r/o HSIL


HRAText:
Pt first seen in 2004 and NOT NEW. Had an ASCUS in 10/08


HRAText:
PA and vulvar warts, No HRA IA, pap or bx bc pt uncomfortable


HRAText:
IA hypertrophied anal papilla, ? Condy or dysplasia on tip? No Bx since will ablate with IRC on next visit


WhyHere:
hx of benign SQ cells keratiniz & glandul, warts

HRAText:
IA focal nonstain awe, PA NC like changes


WhyHere:
hx of vulvar CA stg III, and HSIL anal pap

HRAText:
internal HSIL lesions, vulvar dx not extending to PA areas


HRAText:
extensive IA HG lesions, some PA lesions


HRAText:
IA hypertrophic papillas, some areas of awe


HRAText:
IA multifocal areas of awe with punctations with warty lesions


# Subject

MovieTitle:
Raiders of the Lost Ark (1981) and three later films


MovieTitle:
The Lord of the Rings (2001-2003) trilogy


MovieTitle:
The Silence of the Lambs (1991) and later films


MovieTitle:
In the Heat of the Night (1967) and one later film


MovieTitle:
Scores of films, beginning with Mabel's Strange Predicament (1914) - actually first seen in Kid Auto Races at Venice (1914)


MovieTitle:
Willy Wonka & the Chocolate Factory (1971)


MovieTitle:
A Nightmare on Elm Street (1984) and too many later films


MovieTitle:
The Pink Panther (1964) and four later movies


MovieTitle:
Saturday Night Fever (1977) and one later film


MovieTitle:
Ace Ventura: Pet Detective (1994) and later films


MovieTitle:
The 400 Blows (1959) and four later films


# SubjectOld

HistoPath:
No Bx. Referred to surgery for fistula/abscess


HRAText:
Unable to complete exam until 4 months later and did not have a Bx (HSIL-II)  which was IA HSIL with circum LSIL and PA LSIL


HRAText:
HRA two weeks later: circum awe mostly L-

HistoPath:
HSIL-III bx taken two weeks later bc of recent liver tx


HRAText:
Circum internal LSIL/HSIL
External LSIL/HSIL in setting of decreased CD4

HistoPath:
No Bx since low CD4, f/u 5 months later was LSIL pap and bx


WhyHere:
eval of L sided anal pain. No hx of anal warts

HRAText:
IA very minor vage awe, no HSIL. No fissure


HRAText:
Internal and external warts, focal areas of HSIL


HRAText:
IA HSIL and several moderate sized condys


HRAText:
aytpia, no distinct LSIL/HSIL, SQ Metaplasia


WhyHere:
Screening. No hx of anml anal pap or warts


HRAText:
IA minor LSIL, scar tissue c/w prior hx of fistula. No warts of HSIL.


HRAText:
IA multiple warty lesions and nonstain awe


HRAText:
IA flat lesions and raised warty lesions


HRAText:
Warts intra and perianal, treated with vinegar, No Bx


HistoPath:
HSIL-II, HSIL-II to III, hyperkeratosis and reactive changes, LSIL


HRAText:
IA large internal HGAIN and large PA lesion


WhyHere:
hx of ASCUS anal pap and no prior anal warts

HRAText:
Ia atypical sq metaplasia w/features of HSIL


HRAText:
IA HSIL lesions and additional LSIL wart


HRAText:
IA and PA diffuse warts, penile granular warts


WhyHere:
HSIL Cyto and hx of AIN III & anal warts

HRAText:
minor discrete we, no obvious HSIL. No Bx


WhyHere:
Perianal dysplasia and duct pigmentation

HRAText:
Internal: Atypia/LSIL r/o HSIL, tags; External awe


HRAText:
Tissue tags at anal opening.Internal: mild awe.  No Bx


HRAText:
Multiple areas with vascular epithelium sugg. Of CA


HRAText:
IA lesions too large for TCA, RTC for IRC. No pap or BX on RTC 4 months later


HRAText:
IA lesions c/w LSIL, potential HSIL; PA warts


WhyHere:
hx of HSIL on PA tag bx , not immunocomp

HRAText:
IA minor atypia, no distinct HSIL;PA minor leukoplakia around area of removed tag


HRAText:
IA Metaplasia, no HSIL or LSIL seen, normal exam


WhyHere:
hx of ASCUS anal pap and warts, hx Hlymph


WhyHere:
hx of anal wartts at verge and r/o dysplasia vs. C


HistoPath:
keratinized SQ mucosa and reactive changes


WhyHere:
hx of HSIL anal pap and warts, hx of liver tx

HRAText:
IA HSIL, Bx deferred d/t low plts, pt did not return


WhyHere:
hx of HSIL-II to III anal pap and warts, tx


WhyHere:
hx of LSIL anal pap. No hx of anal warts

HRAText:
IA poss. HSIL and small condys
(Cytology, HRA and Bx done in one visit on return)


WhyHere:
hx of LSIL anal pap and warts, hx prostate CA


WhyHere:
hx of Bowen rectum VIN-III, s/p partial vulvectomy

HRAText:
IA nonstain awe areas, PA lightly pigmented areas but no PA bx


HRAText:
IA obvious condys and LSIL, some areas sus. For HSIL, refer to surgery for bx and tx

HistoPath:
No Bx. Referred to surgeon for bx and tx, no report in chart


WhyHere:
hx of colon CA, and AIN-III anal bx and warts


WhyHere:
hx of LSIL anal pap  and CIN-II to III by bx


HistoPath:
No Bx. No evidence of HSIL or conclusive for LSIL


WhyHere:
immunocomp.on IVIG, hx VIN III, ASCUS anal pap


HRAText:
minor atypia/LSIL scarring c/w prior tx. No Bx


HRAText:
Pap: HSIL-keratinizing dyplasia. Circumferential HSIL and external warts


HRAText:
Internal and external areas of LSIL, no obvious HSIL


HRAText:
several internal lesions of various grades


HRAText:
Multifocal small and large warty lesions, No Bx plan to tx warts


HRAText:
Multiple Condy intra and perianal, No Bx plan for IRC of condy.


HRAText:
Internal Hem. and warts, No evidence of HSIL


HRAText:
Anal CA, defect in mucosa s/p CMT two months prior.


HRAText:
Perioanal lesion suspicious for invasion

HistoPath:
Perianal external HSIL-II to III with chronic granulation


WhyHere:
here for consultation RE dx of anal CA T1N0


HRAText:
External anal warts, Internal areas of CM and L-


HRAText:
IA Limited internal lesions, poss. HSIL but all c/w atypia


HRAText:
Thickened epi. c/w scar s/p CMT, telangiect. No anal HSIL or CA.


WhyHere:
hx of HSIL-II to III. No hx of anal warts


WhyHere:
Hx of HSILII s/p laser. Hx of anal warts

HRAText:
Perianal/Verge: HSIL with poss. Invasion. Surgical excision 1 mon. later HSIL-III on bx


HRAText:
Diff. due to int. hemm., areas of internal slight awe L-


HRAText:
Focal internal  warty lesions and awe/CP areas


HRAText:
No discrete lesions. Slight awe/ L+. No Bx


HRAText:
Diffuse External/Internal CP with vascular changes, no discrete LSIL or HSIL


WhyHere:
hx of HSIL-II s/p IRC, and hx of anal warts


WhyHere:
hx of HSIL-III pap and anal warts, Bowens Dx

HRAText:
Internal: circum. warts; external pigmented lesions


WhyHere:
hx of LSIL anal pap, no hx of anal warts

HRAText:
Int: LSIL with atypia; Ext: atypia and warts


WhyHere:
hx of HSIL on anal bx and external warts


HRAText:
Int & Ext: ?limited HSIL vs RSM, small condy


HRAText:
Lesion at verge entending out to granulating edges

HistoPath:
Verrous hyperplasia with acute/chronic inflam.


WhyHere:
hx of HSIL-II to III on bx and ext HSIL bx

HRAText:
Internal warts and external hyperpigmentation


HRAText:
External ulcerations and circum. Erythema


WhyHere:
hx of ASCUS anal pap and anal warts; cervical LEEP


HistoPath:
Could not tolerate an exam in office so referred for HRA and destruction of lesions, no Bx taken


HistoPath:
External benign melanocytic nevus; Internal LSIL


HRAText:
Internal r/o HSIL with warts, polyp and glands; external dermatitis

HistoPath:
Int. SQ mucosa with acute/chronic rxv changes on ulcer and polyp; ext. hyperkeratosis and rxv changes


HRAText:
IA focal area of nonstain awe, some PA tissue tags. No warts


HRAText:
IA and PA warts. Started on Aldara so NO PAP OR BX.


HRAText:
Internal increase in vessels c/w and external clean ulcer


HRAText:
Int and circum. circum areas of LSIL and HSIL


HRAText:
Internal wart, CD4 count was 353 6 mon later after first visit


WhyHere:
hx of stage IIIB anal CA s/p CMT and XRT


WhyHere:
hx of HSIL anal pap and s/p fissure repair w/scarr

HRAText:
Pap smear done at OSH within 1 month, so no repeat. IA fissure and leukoplakia and some L- areas


HRAText:
Dx with Invasive SQ CA T1N0M0 from colonoscopy bx.


HRAText:
Extensive internal and external warty lesions


WhyHere:
hx of HSIL anal pap, no hx of anal warts


HRAText:
PA warts, Penile ulceration near urethra with induration, poss Bowens


WhyHere:
hx of ASCUS anal pap, no hx of anal warts


HistoPath:
internal: HSIL-II to III; external HSIL II and III


HistoPath:
ASC-H, Papillary LGIL in immatue SQ metaplasia


WhyHere:
hx of HSIL-II to III anal pap and warts tx by surg

HRAText:
IA and PA poss HSIL with obvious condy and LSIL


WhyHere:
hx of ASCUS anal pap, VIN and vulvar warts


WhyHere:
hx of  cervical CA and skin tags with ISCA


HRAText:
IA and PA warts. Newly dx HIV, no CD4 and VL.


WhyHere:
referred for care  pt w/T2 rect SQCCA s/p XRT/CMT


HRAText:
multiple intranal condy, with perianal lesion


HistoPath:
No bx, needs surgery to remove condy lesion


WhyHere:
no hx of anal warts but pain w/ defacation

HRAText:
IA moderate amt of condy, HSIL, doubt CA. Warts were tx surgically by electrocautery.


HRAText:
IA areas warts, and PA raised pigmented areas


HRAText:
IA no evidence of residual CA, poss. HSIL


WhyHere:
hx of ASCUS anal pap. No hx of anal warts


WhyHere:
hx of tx HSIL anal pap tx, and anal warts


HRAText:
large internal lesion and external large external tag


HRAText:
extensive internal and external anal warts


HRAText:
IA atypia SQ metaplasia. CD4 not in chart, nadir 11


HRAText:
IA and PA warts. CD4 and VL not in chart


WhyHere:
hx of HSIL anal pap and HSIL-II anal bx 1mon prior


HRAText:
IA some nonstain awe areas and course punctations.


HRAText:
IA minor atypia/LSIL, no HSIL, PA 2 lesions with thickening and pigment. Changes


HRAText:
diffuse circum internal and external LSIL


WhyHere:
hx of LSIL anal pap s/p IRC, no hx of anal warts


HRAText:
no HSIL seen, IA and PA warts. NO CD4 in chart


HRAText:
Ia appears LSIL, several focal areas of nostain awe


HRAText:
No IA or PA lesions. Penile Bx was LSIL condy


HRAText:
more extensive LSIL, limited HSIL with fistula scar


HRAText:
IA single discrete lesion no evidence of HSIL


HRAText:
external condys and internal lesions of nml vs LSIL


WhyHere:
hx of ASCUS anal pap done two months prior

HRAText:
single area of metaplasia seen. No repeat pap


HRAText:
external warts, large ulcerative lesions


HRAText:
IA residual LSIL and condys. PA HSV vesicles and warts/tags


WhyHere:
hx of anal warts and on immunosuppresants


WhyHere:
hx of HR HPV and sx, no hx of anal warts


HRAText:
IA warts but no obvious HSIL lesions and PA warts


HRAText:
large external obstructive condy, No pap.


HRAText:
IA awe, PA pigmented lesion, CM and leukoplakia


HRAText:
IA minor atypia and benign colonic polyp


HRAText:
internal ulcerations and glandular lesions


WhyHere:
hx of HSIL-II anal bx and ASCUS anal pap


WhyHere:
hx of rectal polyp w/AIN III, vulvar warts


WhyHere:
hx of IA growth snd no prior hx of anal warts

HRAText:
IA warts and flat lesion adjacent to wart


WhyHere:
hx of ASCUS anal pap and tx HSIL pap, hx warts


HRAText:
internal and external warts, internal flat lesion


WhyHere:
hx of anal warts showing LSIL s/p laser ablation


HRAText:
diffuse circum. Warts internal and external. Internal HSIL. Pt doesn't know CD4 and VL.


WhyHere:
hx of HSIL anal pap. Tx with aldara and fulgurat

HRAText:
IA atypia r/o HSIL, single wart, PA flat warts


HistoPath:
No Bx will plan for IRC since painful hemorrhoids


HRAText:
large amount of condy with a single area supicious of HSIL


HRAText:
IA limited internal HSIL and LSIL. PA warts


HRAText:
IA & PA diffuse LSIL w/focal areas of SIL


WhyHere:
small bump on buttocks, no hx of anal warts


HistoPath:
No Bx but f/u with poss. fulguration in OR


WhyHere:
hx of ASCUS anal pap and HSIL anal bx. No warts


HRAText:
lesion at  anal verge, vulva and internal


WhyHere:
hx of anal polyp grade I-II, referred from OSH

HRAText:
IA warts and flat areas of awe, no HSIL seen


WhyHere:
hx of hemorrhoids with hx of HSIL cervical pap


HRAText:
IA minor awe and honeycombing, with anal mucosa scarring


HRAText:
Pt seen in before 2006. These results are in 2006.


WhyHere:
hx of solid organ transplant and LSIL anal pap


HRAText:
external pigmented lesion, internal areas of nonstain awe


WhyHere:
hx of HSIL anal pap and warts;  LSIL on cervical

HRAText:
No repeat pap, last one HSIL-II to III anal pap 1.5 mon prior


HRAText:
**Not a new patient, was seen before in 2000 and had a full w/u


WhyHere:
hx of hemorroidectomy s/p tx, and anal mass


WhyHere:
hx of increasing growth and internal hemorrhoids


HRAText:
no penile lesions, multifocal internal warty lesions


HRAText:
penile condys and lesions tx, internal bx taken


WhyHere:
LSIL anal pap 1mon prior. VIN. CLL on CMT

HRAText:
PA HSIL seen and several warts. IA  LSIL


HRAText:
extensive intranal and perianal HSIL/LSIL


WhyHere:
hx of HSIL-II to III anal pap despite hx of fulgur


HRAText:
focal areas of awe internally, tag of PA tissue

HistoPath:
ASC-H, tag is benign keratinized SQ mucosa


HRAText:
internal and external hemorrhoids, and focal internal area of awe

HistoPath:
No Bx, wait for next visit due to increase sensitivity.repeat bx not done as PCP wanted to wait.


HRAText:
IA sq metaplasia but HSIL can't be eval. w/o bx. No pap. Pt was s/p LN2/TCA tx and needed to be further evaluated


HRAText:
IA atypical areas of SQ metaplasia  c/w prior tx of condy. 1 IA lesion with HSIL features


HRAText:
internal and external warts and tags. Pap not done as done 2.5 months prior


WhyHere:
hx of LSIL anal pap and anal fissure repair


HRAText:
internal warts with fistula opening. No pap or bx. Refer to tx fistula repair


WhyHere:
hx of HSIL anal pap, AIN-II to III rectal nodule


HRAText:
internal awe granular, external PA awe nodule, pigmented, ulcerated


WhyHere:
hx of HSIL anal pap and rectal mass, +inguin. LN

HistoPath:
No Bx. Inguinal Node was MAC/AFB and tx for it instead.


HRAText:
IA lesions with features suggestive of cancer


WhyHere:
here for penile warts refractory to tx w/pody, LN

HRAText:
No IA exam. No Pap or BX. Penile warts and fungal infection at scrotum.


HRAText:
No cervical  exam because of vaginal stenosis and would be examed under anesthesia


HRAText:
NO IA EXAM, external ulcerated areas, refer to surgery


HRAText:
Penile pearly papules. No anal pap or Bx done.


WhyHere:
hx of HSIL anal pap. No hx of anal warts

HRAText:
external diffuse granularity, internal lesions


HRAText:
LSIL anal pap not repeated as done within 1 month


WhyHere:
hx of LSIL, s/p pancr/renal tx, immunocompromised

HRAText:
IA warts. No Bx, pt on Coumadin but no Bx on f/u visit as repeat pap was LSIL


HRAText:
perianal HSIL, and internal extensive condy


HRAText:
external condys poss HSIL, internal lesions poss. HSIL vs. Mature SM


WhyHere:
hx of LSIL anal pap and warts, S/P BM TX on immuno


HRAText:
IA lesions nonstain awe, CD4 and VL not in chart


WhyHere:
hx of LSIL anal pap, SQCA s/p CMT and warts

HRAText:
IA no evidence of HSIL or CA, nonspecific changes s/p XRT


HRAText:
perianal lesion poss HSIL, internal condys


WhyHere:
hx of SQCA found by colonoscopy. Referred.

HRAText:
internal friable c/w CA and HSIL. No pap or BX but scheduled for CMT/XRT


WhyHere:
annual check. Nml paps. and hx of anal warts


WhyHere:
hx of HSIL anal bx and warts. Hx of LSIL pap


HRAText:
internal circum condys and perianal ulcers, No Bx, as pt reeval one month later given complicated condn with diffuse dx, low plts and diverting loop ileostomy and immunocomp. was Re-eval in one month.


HRAText:
internal areas of nonstain awe, external wart


HRAText:
IA residual from resection one week prior with fibroepithelial polyp, No pap or Bx done until yr later with pap was nml


HRAText:
external condys with internal lesions, r/o HSIL


HRAText:
IA HSIL and diffuse LSIL with probably fistula refer to colorectal surgeon


HRAText:
IA HSIL/LSIL r/o SCCA external since central ulceration


WhyHere:
here for recurring pubic warts, tx with LN2

HRAText:
No pap or Bx. PT has a hx of aSC-H pap and LSIL anal bx. Hx HR HPV type.


WhyHere:
hx of LSIL anal pap and HSIL bx. And warts

HRAText:
external diffuse Bowen's dx, r/o internal HSIL


WhyHere:
hx of Anal SQCCA s/p CMT & XRT no hx warts


HRAText:
IA atypia or LSIL, minor granularity, No HSIL


WhyHere:
hx of LSIL anal pap, hx Crohns, hx anal warts


HRAText:
IA raised awe and atx vessels, PA ulceration with some awe


WhyHere:
hx of UC on meds, hx HSIL anal pap and warts


HRAText:
?HSV? vs traumatic irritant, doubt HSIL likely extensive metaplasia


HRAText:
IA warts and flat and raised diffuse LSIL, minor PA flat and raised


WhyHere:
hx of HSIL anal pap and SQCA of skin leg


HRAText:
hx LSIL anal pap 2 months prior, not repeated by just bx


WhyHere:
hx of anal warts & PA fissure w/colon w/tubul aden

HRAText:
IA focal area of nonstain awe and anal papilla


HRAText:
extensive circum internal, and perianal circum hyperpigmented


WhyHere:
hx of LSIL anal pap, hx bowenoid pap. of penis


HRAText:
IA extensive warty lesions some HSIL appearing, PA pigmented lesions


WhyHere:
hx of invasive anal SQCCA s/pCMT/XRT, anal warts

HRAText:
IA chronic changes but no evidence of HSIL or CA


HRAText:
IA focal awe with mosaic, PA warty lesion


WhyHere:
partner with HSIL and no hx of anal warts, no pap


WhyHere:
hx of HSIL anal pap, s/p AINIII excision colon pol

HRAText:
no evidence of HSIL, papillae but no lesions


WhyHere:
hx of anal warts, immunosup 2/2 steroids


WhyHere:
hx of ASCUS anal pap and vulvar warts tx


WhyHere:
hx of HSIL-III anal bx sp tx & anal warts

HRAText:
IA very prom. lesions extending into distal rectum


HistoPath:
HSIL-II to III (after a return since had excoriation/irritated and couldn't be bx)


HRAText:
No HRA or anal exam. No pap or Bx. Penile lesion= RSM


WhyHere:
hx of cirrhosis, anal LSIL bx, hx of tx anal warts


WhyHere:
hx of LSIL anal pap. + penile wart, no PA warts


HRAText:
external multifocal warty lesions and hemorrhoids


HRAText:
external warts, internal small areas of awe


HistoPath:
No Bx since will have surgical fulguration of extensive warts


HRAText:
external small wart clusters,external lesions, CD4 not in chart


WhyHere:
hx of HSIL anal pap, hx of bowen dx R flank


HRAText:
granular warty lesions, focal area of awe


HRAText:
focal warty lesion, CD4 or VL not in chart (OSH)


HRAText:
PA verge warts and HSIL.. BX deferred to PAP results RTC in 1 month. (see below for results)


HRAText:
external thickened areas and internal extensive areas of abn vessels


HRAText:
PA thickened lesion at the verge c/w HSIL


HRAText:
unsat. colpo exam with large int. hemorrhoids bx nonstain awe


WhyHere:
hx of AINIII pap and warts, been tx in past w/IRC


HRAText:
No pap or Bx. No penile or urethral meatusor scrotal lesions.


HRAText:
multifocal PA and IA warts with warty lesions


WhyHere:
hx of ASCUS anal pap, breast CA on chemo

HRAText:
focal internal area of awe but not significant.


HRAText:
internal no distinct lesions but L-, not LSIL or HSIL


HRAText:
IA papilla and hemorrhoid. No clear lesions


HRAText:
IA prominent SQ metaplasia. No evidence of HPV related lesions


HRAText:
wague area but L+, some fine vascularity


WhyHere:
hx of ASC-H anal pap, no hx of anal warts


HRAText:
No repeat pap, done 1.5 months prior. Scattered IA and PA areas.


HRAText:
external warts, internal area of HSIL. No pap done 4 months prior


HRAText:
Did not do exam d/t pain, has not f/u yet


HRAText:
IA areas of awe and PA benign tissue tag


WhyHere:
hx of ASCUS anal pap and SISQCA bx and warts


WhyHere:
hx of cervical HSIL s/p LEEP & 5FU, LSIL anal pap


HRAText:
No Evidence of residual CA or any HPV lesions. PA sebaceous cysts


HRAText:
No pap. Done within 1 month as HSIL-II. Internal lesion


WhyHere:
hx of HSIL anal pap and LSIL anal bx by colono.


WhyHere:
hx of ASC-H anal pap. No hx of anal warts


HRAText:
poor exam d/t hemorrhoids and recent banding of hemorrhoids.


HRAText:
No repeat anal pap done 2 months prior (HSIL at outside lab with no grade)


HRAText:
external  lichenified, internal exten awe


HRAText:
multiple areas of awe sug of HSIL vs metaplsia


WhyHere:
hx of SQCA of anus s/p CMT and XRT, HR HPV


HRAText:
multifocal warty lesions. No areas of HSIL


HRAText:
anal tag, pap as LSIL 8 days prior. No distinct lesion.


HRAText:
IA raised warty and one flat area with HSIL not tx. Has been seen by NJ previously. No data in chart.


HRAText:
IA focal area of awe and micropapilla warty lesion


HistoPath:
No Bx bc need surgical intervention (which later revealed HSIL)


HRAText:
some IA papilla and focal areas of awe and external tags and warts, external hyperpigmented areas,no ex bx.


HRAText:
has PA fungal infxn, fistula and HSIL and warts


WhyHere:
referred for poss anal CA, but HSIL-II to III bx


WhyHere:
hx of ASCUS anal pap. Partner with warts


HRAText:
chronic internal changes, no evidence of HSIL


HRAText:
No pap or bx as pt referred for f/u after SQCCA anal resection.


HistoPath:
No Bx. No evidence of HSIL or any lesions


WhyHere:
s/p lung tx and immunocomp, and hx HGVIN/VAIN

HRAText:
had pap one month prior as LSIL, some internal anal papillae and condys


HRAText:
internal limited HSIL and diffuse LSIL, external diffuse HSIL


HRAText:
internal hemmorhoids awe, some HGIL appearing areas


HRAText:
IA multiple areas suggestive of metaplasia,


HRAText:
PA pigmented and warty, internal areas of awe


HRAText:
extensive warty lesions, nonstain awe areas, hard external lesion


WhyHere:
hx of ASCUS anal pap, PA, vulvar and IA warts

HRAText:
extensive large warty lesions w/vascul., need OR procedure, extensive PA and vulvar warts


WhyHere:
hx of ASCUS anal pap and warts s/p laser


HRAText:
has multiple PA hyperpigmented areas and internal lesions


WhyHere:
hx of LSIL anal pap with PA warts s/p tx TCA

HRAText:
few PA warts, had ASCUS pap one month prior. No internal lesions


WhyHere:
hx of HSIL anal pap and bx and anal warts


HRAText:
No pap. Penile warts were treated with LN2


HRAText:
internal and external  areas nonstain awe

HistoPath:
HSIL-II to III at vulva/PA, and RSM in anus


HRAText:
warts and flat lesion with HSIL features


HRAText:
IA area of awe but no internal lesion. , and PA hemorrhoids


HRAText:
IA warty lesion/nonstain awe and punctations


WhyHere:
hx of anal warts seen on colono. No hx gen. warts

HRAText:
several internal condys and SQ metaplasia, external tag


HistoPath:
IA and PA verrucous hyperplasia with markes hyperplasia


HRAText:
IA mostly LG changes, possibly HSIL, extensive awe c/w LSIL and some small condy


HRAText:
multiple internal warty lesions, no external lesions


HRAText:
IA focal area of awe, PA lesions,PAP: HSIL-II to III pap 4 months prior


WhyHere:
recent  SQCA anal polyp needing evaluation

HRAText:
widespread internal  HSIL worrisome for invasive SQCA


WhyHere:
hx of anal warts prev tx, hx HSIL-II-III anal bx


HRAText:
IA probable HSIL and additional LSIL, PA condys


HRAText:
did not do exam since s/p hip replacement, and did not f/u


HRAText:
IA slight awe, no mentioned of CD4 and VL in chart


HRAText:
penile ulcer and hand ulcers/warts. No pap or Bx.


WhyHere:
hx of anal warts, oral hairy leukoplak/warts

HRAText:
IA large warty lesions and PA firm warty lesion


HRAText:
IA some awe + hemmorhoid making visualization diff.


WhyHere:
hx of anal warts with multiple treatments


WhyHere:
hx of PA HSIL-III/CIS, no hx of warts, hx bowens

HRAText:
internal HSIL, external areas of pigmentation change


WhyHere:
hx of LSIL pap, hx HL s/p CMT/XRT; hx CIN/VIN/VAIN

HRAText:
focal internal area of nonstain awe. No record of CD4 counts


HRAText:
diffuse areas of HSIL and LSIL internal and external


HRAText:
chart does not contain any H&P papers of lab results


HRAText:
IA some vague and focal areas of awe, CP and L-


WhyHere:
hx of LSIL anal pap, SQCCA of throat, HPV 16


HRAText:
difficulty visualizing TZ but large internal warty lesions


WhyHere:
hx of dysplastic sq polyp HSIL-II to III

HRAText:
internal circum. Lesions HSIL, but areas of LSIL, pigmented external area

HistoPath:
HSIL-II to III, exter. Seborrheic keratosis


WhyHere:
hx of multiple abnl paps, worst HSIL, last LSIL


WhyHere:
hx of HSIL-III anal bx and HSIL-II colono., warts


HRAText:
IA minor awe lesions and warts, no evidence of HSIL, PA wart


WhyHere:
no hx of anal warts, LSIL anal pap 3mon prior

HRAText:
No repeat pap, recent 3 months prior as LSIL


HRAText:
condys on penis. No IA exam. No PA warts


HRAText:
IA likely HSIL but hemorrhoids preclude adequate exam


WhyHere:
hx of vulvar warts and ASCUS anal pap, VAINI/VINI

HRAText:
internal warts and external warts; takes predisone for SLE, external pigmentation; no repeat pap as ASCUS 2 months prior


HRAText:
internal nonstain awe poss. HSIL, external focal nodularity and benign tags


HRAText:
internal areas of nonstain awe, PA bumpy lesion

HistoPath:
hyperkeratosis and rxv change of ext, benign epi internal


HRAText:
internal lesions biopsied, external should be surgically excised


HRAText:
IA HSIL appearing lesions and extensive warty lesions a


WhyHere:
hx Crohns on remicade, hx of ASCUS anal pap

HRAText:
internal discrete warts, external warts and leukoplakia


HRAText:
few focal areas of awe and warty lesions


HRAText:
PA areas c/w AIN, IA large areas of lesions


WhyHere:
hx of ASCUS anal pap. Hx anal ca sp CMT/XRT


HRAText:
many discrete lesions HSIL & LSIL diffuse disease


HRAText:
IA nonstain awe area and large warty lesion


HRAText:
prominent meta but lesions suggestive of HSIL


WhyHere:
hx of LSIL anal pap, anal fistula repair

HRAText:
multifocal warts  and warty papilla, multifical PA warty lesions


HRAText:
no repeat pap as came out HSILII- to III inhouse 1.5 months


WhyHere:
no hx abn cx paps or warts, hx of spreading polyp

HRAText:
HSIL + condyloma; hx of superficially spreading polypoid lesion, hx of LSIL anal bx on screening colonoscopy


HRAText:
IA and PA warts. Repeat visit in one month after healing s/p fulguration of warts and BX revealed HSIL-II to III


HRAText:
few focal areas of nonstain awe, PA pigmented lesion


WhyHere:
hx of LSIL anal pap, s/p liver tx; no warts


WhyHere:
hx of HD stg IIIB s/p XRT, VIN I-III s/p laser

HRAText:
No pap. IA HSIL and LSIL, PA dx. Just gave Aldara or efudex


HRAText:
areas of nonstain awe IA and PA verrucous lesions w/vessels and ulcerations r/o CA

HistoPath:
IA-LSIL, PA-HSIL-III w/fx sugg of invasion


HRAText:
PA hemorrhoid, IA nonstain awe with anal papilla


WhyHere:
hx of rectal CIS tx, no vulvar dx or cervical pap


WhyHere:
hx of HSIL anal pap w/tx by IRC and anal warts


HRAText:
had nml anal pap at OSH one month prior, IA lesions LSIL/HSIL


HRAText:
NOT A NEW PT. seen several times since '02 by Dr. Berry


HRAText:
IA HSIL and raised papillary lesion,  PA condy


WhyHere:
hx of abnl pap, HSIL-III anal bx and warts

HRAText:
IA circum warty dx, LSIL and HSIL not seen


HRAText:
No pap and bx done since pap done one month prior


HRAText:
IA areas of nonstain awe and fical warty lesion


HRAText:
had no pap or Bx done on first visit but f/u at CPMC by another provder was LSIL pap and HSIL-II to III bx w/in three months


WhyHere:
hx of HSIL/CIS and pap, no hx of anal warts


WhyHere:
immunocomp., hx of HSIL-III/CIS anal pap


HRAText:
focal slight IA area of awe, if pap anml will tx next visit.


HistoPath:
No Bx since has his own provider and recommended ablation. Saw Dr. Berry for second opinion since has on Bx HSIL 7 months prior


HRAText:
IA lesions sugg of LSIL and some HSIL, PA warts


HRAText:
IA probable HS/LSIL changes. Nonstain awe


HRAText:
IA pigmented warty lesion circumferentially


HRAText:
IA background of chronic changes/thickening ?related previous surgery


WhyHere:
hx of LSIL anal pap, cx warts, anal warts


HRAText:
had an ASC-H pap 2 months prior at OSH, IA r/o HSIL


HRAText:
Pt first seen in 2004 and NOT NEW. Had an ASCUS in 10/08


HRAText:
PA and vulvar warts, No HRA IA, pap or bx bc pt uncomfortable


HRAText:
IA hypertrophied anal papilla, ? Condy or dysplasia on tip? No Bx since will ablate with IRC on next visit


WhyHere:
hx of benign SQ cells keratiniz & glandul, warts

HRAText:
IA focal nonstain awe, PA NC like changes


WhyHere:
hx of vulvar CA stg III, and HSIL anal pap

HRAText:
internal HSIL lesions, vulvar dx not extending to PA areas


HRAText:
extensive IA HG lesions, some PA lesions


HRAText:
IA hypertrophic papillas, some areas of awe


HRAText:
IA multifocal areas of awe with punctations with warty lesions


