### Patient: Doctor, I have these weird bumps on my skin that won't go away. They look like small clusters of rough skin. Could it be viral warts?
### Doctor: Yes, it is possible that you have viral warts. To confirm the diagnosis, we will need to perform a complete physical skin exam, and if the warts are large or persistent, then we may need to perform an excision or removal of the skin lesion. We may also need to perform a biopsy to confirm the diagnosis. Additionally, a pelvic exam or rectal examination may be necessary if the warts are in certain locations. After the procedure, we will provide you with wound care management instructions.