INPUT ARTICLE: Article: This condition is related to Paget's disease of the breast. It can affect both men and women, and affects the genitals and anus. It can be found on the penis and scrotum, but it is most commonly found on the vulva of women who are postmenopausal. Symptoms include:  Red, flaky skin resembling a rash on the vulva, penis, scrotum, or anal area. The thighs may also be affected. Lesions on this area that are thick and that itch or burn. They may bleed and be painful when scratched. If you have any of these symptoms, you should go to the doctor for a physical examination. They will check your symptoms and take your medical history to assess your condition. If they believe you have extramammary Paget’s disease, they will do additional tests. Depending on your specific type of extramammary Paget’s disease, you may have a variety of tests. Imaging tests, such as an ultrasound, CT scan, or MRI may be ordered to check the groin area. The doctor may also suggest a colonoscopy.  The doctor will probably also take a biopsy of the area. They may take a biopsy of the vulva, penis, scrotum, anus, or surrounding areas. The biopsy will be examined to come to a definitive diagnosis. If you are a woman, they may do a vaginal smear.

SUMMARY: Recognize the symptoms. Go to the doctor for an exam. Undergo tests.


INPUT ARTICLE: Article: Dehydration in hamsters is very serious, so you should not delay in getting your hamster to your veterinarian. However, if you cannot get him to the vet right away, start rehydrating him at home to get him on the road to recovery. You will administer fluids by mouth with a syringe, which is available at your local pharmacy.  Rehydration by mouth is recommended when the dehydration is caused by diarrhea.  The best type of rehydration fluid for your hamster is one that contains salts and sugars (e.g., Lectade, unflavored Pedialyte). Rehydration products are available at your local pharmacy and grocery store. Plain water is not recommended because it would dilute the already-reduced amount of minerals, salts, and sugars in your hamster’s body.  If you can’t go to the store, you can add a pinch of salt and sugar to plain water and give that to your hamster. However, it would be best to purchase a rehydration solution that already has the proper mix of salts and sugars. Draw up the fluid in the syringe (preferably a 10 milliliter syringe). Wrap your hamster snugly in a towel with one hand. With your other hand, place the syringe just inside his mouth on one side and empty the syringe’s contents drop by drop. Make sure that you give your hamster a chance to swallow the fluid in between drops. Never force fluid into your hamster because there is a risk that you will force fluid into his lungs, which is likely to be fatal. Your veterinarian will be able to give your hamster more advanced dehydration treatment. Other than commercially available rehydration products, your veterinarian will also have other fluids available, such as 0.9% saline or lactated ringers solution, to rehydrate your hamster.  Your veterinarian will assess how severe your hamster’s dehydration is before administering fluids. This will help him or her calculate how much fluid to administer to adequately rehydrate, but not  over  hydrate your hamster. Your veterinarian will probably try to give your hamster fluids by mouth first. If your hamster cannot drink on his own, your veterinarian will inject the fluids under your hamster’s skin (‘subcutaneous injection) using a sterile needle.  If an underlying health condition (e.g., Wet Tail, diabetes) has caused the dehydration, your veterinarian will treat that condition as well. Fresh produce with a high water content can also help your hamster if diarrhea is  not  the cause of his dehydration. Cucumber is a good vegetable that you can give him. Apples also have a high water content. Consult with your veterinarian before giving your hamster fresh produce to treat the dehydration—introducing fresh produce to your hamster’s diet too suddenly can give him diarrhea, which would make his dehydration worse.

SUMMARY: Rehydrate your hamster. Take your hamster to your veterinarian. Feed your hamster fresh produce.


INPUT ARTICLE: Article: Child abuse can take on many different forms, and it's important to know how to recognize each of them. Not all sexual abuse is physical, so even if your child isn't being molested, they could be in harm's way. Here are examples of the types of abuse that can occur:  Touching a child's genitals for sexual pleasure Making a child touch someone else's genitals (an adult's or another child's) Showing pornography to a child Taking inappropriate pictures of a child Showing a child an adult's genitals or encouraging a child to watch sexual acts From a very early age, teach your child that certain body parts should never be touched by someone other than the child. Many parents define these body parts as everything that would be covered by a bathing suit. Teach your child that if someone attempts to touch them in a private area, they should say "no" and tell you as soon as possible. Some parents use the "good touch, bad touch, secret touch" method to teach their children about touching. A good touch is one that is welcome, like a high five. A bad touch is one that hurts, like a kick or punch. A secret touch is one that a child is told to keep a secret. Tell your child to let you know right away if a bad or secret touch happens. Kids are a lot more likely to confide in their parents if they aren't afraid they'll get in trouble. They must also feel that their parents will believe what they say. Start fostering a trusting and positive relationship with your child so that they know that no matter what, you're there to help. If your child brings up a problem - even a problem unrelated to potential abuse - never be dismissive. Always take your child seriously and help your child find a way to solve the problem. One important way to create open lines of communication with your child is to have regular conversations. Maybe your schedule is packed and you're always on the go, but make time every day to ask your child about their life. Stay on top of your child's activities, who they spend time with, and how they are feeling every single day. That way, if something out of the ordinary occurs, you'll know right away. Make sure your child is feeling emotionally supported, too. Children who don't feel they are getting enough attention at home are more vulnerable to predators. Sexual predators tend to target kids who don't seem like they have much adult supervision. Be there for your child's games, practices, rehearsals and field trips. If you plan to leave your child in the care of someone else, make sure you know and trust them -  from extended family members to teachers to coaches and family friends. If your child tells you they are being molested, do not dismiss it - even if the news is completely shocking. Remember that most perpetrators of sexual abuse are people the child knows and trusts. Just 10% are strangers to the child. If you have reason to believe someone is abusing your child, take these steps:  Keep your child away from the abuser.  Call the Emergency Services and report the abuser to the local authorities. Call the National Child Abuse Hotline at 1.800.4.A.CHILD for more information about reporting the abuse. Get medical attention for your child. It's important to take your child to the doctor to find out if they were physically harmed. Take your child to counseling. The psychological trauma of abuse often outlasts the physical trauma. Therapy can help your child find ways to cope.

SUMMARY:
Know what constitutes abuse. Teach your child that certain body parts are private. Build a trusting relationship with your child. Get in the habit of talking every day. Get involved at your child's school and be present at their activities. Act on what your child tells you.