Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Obs & Gynae > Acute Vulval Pain > Flashcards

Acute Vulval Pain Flashcards

1
Q

What causes acute vulval pain

A 
Barhtholin's abscess
Thrush
Ulceration
Haematoma
Lichen sclerosus
Vulval cancer
Atrophic vagintiis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What can cause vulval ulceration

A

Syphillis
Herpes - painful
Malignancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What should you do if someone presents with vulval mass

A

Always investigate
Speculum - cervix / vagina
Associated bleeding or discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is important in the Hx

A

Sexual

Drug

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How do you treat acute vulval pain

A

Analgesia

Treat cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is risk

A

Urinary retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If someone has abdominal pain what should you always think of

A

Bladder / urinary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What makes it less likely gynae

A

If not related to period or sex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How do you test if gynae pain

A

Give GnRH analogue to induce menopause as test for cure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is Batholin’s gland

A

2 mucous secreting vestibular glands responsible for secreting vagina and lubricant
Only palpable in disease or infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where are they found

A

Labia minora

4+8 position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What causes an abscess

A

Duct blocked = cyst which may be tender

Cyst becomes infected if doesn’t resolve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are common organisms

A 
C+G
Trachomatis
E.coli
S>aureus
C. perfrinigens
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are symptoms of Bartholins abscess

A 
Swelling 
Pain in perinea area
Unable to sit down
Fever
May drain pus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What should you consider if recurs in middle aged women

A

Bartholin adenocarcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How do you investigate Bartholin’s abscess and how do you Rx

A 
C+G test
Take swab of any discharge 
Ax
Marsupialisation = 1st line 
Surgical incision and drainage if doesn't respond
17
Q

What should you do for any vulval lump post menopause

A

Refer to exclude malignancy

18
Q

What suggest malignancy

A

Irregular
Nodular
Hard
Fixed

19
Q

How do you treat vulval cyst

A

Marsupialisation = gold standard

Incision + drainage

20
Q

When do you give Ax

A

If surrounding cellulitis

21
Q

What are complications

A

Infection
Bleeding
Haematoma
Recurrence if not excised

22
Q

When are haematoma common

A

Post delivery

After epiostomy

23
Q

How does someone with haematoma present

A

Pain
Swelling
Shcok if large

24
Q

How do you investigate

A

ABCDE
FBC, coag
Group and save
Examine to find out site

25
Q

How do you treat

A

Analegisa
Catheter
Incision and drainage

26
Q

What are complications of haematoma

A

Urinary retention
Pressure necrosis
Sepsis
Haemorrhage

27
Q

What causes vaginal atrophy

A

Decreasing levels of oestrogen

Womb becomes thinner and dryer

28
Q

What are symptoms of vaginal atrophy

A 
Dry
Itch
Pain with intercourse
UTI
Chaffing
PFM weaker 
Incontinence 
Light bleeding 
Persistent smelly discharge 
Vaginal pain 
Pain on urination
29
Q

Why UTI

A

Higher pH

30
Q

What may improve symptoms

A

Sexually active

Increased blood flow

31
Q

What should you do if PV bleed

A

Endometrial / cervical cancer investigation

Exclude vulval cancer

32
Q

How do you Dx vaginal atopy

A

Dx of exclusion
Exclude malignancy
Speculum will show

33
Q

What is conservative Rx

A 
Natural underwear
Loose underwear
No damp clothes
Non-perfumed wash
No hygiene spray
Avoid shaving
Plain water to wash
Quit smoking
34
Q

What is medical Rx

A 
Cool wash or compress of bicarb + water
Moistuerser
Lubricant
Natural oil
Vitamin E
35
Q

What can be prescribed

A

Vaginal oestrogen

HRT

36
Q

How is vaginal oestrogen prescribed

A

Tablet
Pessary
Cream

37
Q

What are SE of vaginal oestrogen

A

Breast pain

Bleeding

38
Q

What are long term risk of HRT

A

VTE
IHD if 10 years post menopause
Breast cancer
Endometrial cancer if E only

Obs & Gynae (23 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions