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ENRP > Conditions of the Vulva > Flashcards

Conditions of the Vulva Flashcards

1
Q

What causes Androgen Insensitivity Syndrome?

A

Genetic deficiency in Androgen Receptors

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2
Q

What will be seen with Androgen Insensitivity Syndrome?

A

46XY –> external female development though (undescended testes)

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3
Q

What is Labial Agglutination?

A

Labia majoras are NOT separated

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4
Q

What is the treatment for Labial Agglutination?

A

Estrogen cream

– labia majoras are not separated

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5
Q

What is present with Fox-Fordyce Disease and why?

A

Yellow cysts in the axilla and labia

– Due to keratin plugged apocrine glands

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6
Q

Yellow cysts in the axilla and labia due to keratin plugged apocrine glands

A

Fox-Fordyce Disease

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7
Q

What is the most common genital cyst?

A

Inclusion cyst

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8
Q

What causes an Inclusion cyst?

A

Hair follicle is obstructed and the deep portion swells

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9
Q

Describe an Inclusion cyst

A

Beneath the epidermis

– mobile, NON-tender, spherical and slow growing

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10
Q

What color are Vulvar Varicosities? When are they painful?

A

BLUE

- Can enlarge and become painful with pregnancy

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11
Q

Where do Urethral Caruncles arise?

A

Distal edge of urethra

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12
Q

A RED outgrowth near the distal edge of the urethra

A

Urethral Caruncle

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13
Q

What can cause a Urethral Caruncle?

A

Prolapse or eversion of urethral epithelium

– red outgrowth near the distal edge of the urethra

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14
Q

What causes Vulvar Vestibulitis?

A

Infection of multiple minor vestibular glands near the posterior vaginal opening

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15
Q

Infection of multiple minor vestibular glands near the posterior vaginal opening

A

Vulvar Vestibulitis

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16
Q

What are the symptoms/presentation of Vulvar Vestibulitis?

A

EXTREMELY tender small red dots and pain with sex

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17
Q

EXTREMELY tender small red dots and possibly pain with sex is likely?

A

Vulvar Vestibulitis

– infection of minor vestibular glands

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18
Q

Where do Sebaceous cysts usually arise?

A

Small masses on inner surface of labia

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19
Q

What type of material is contained within a Sebaceous Cyst?

A

Cheesy material

– small masses on inner surface of labia

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20
Q

What is the most common benign solid tumor of the vulva?

A

Fibroma

21
Q

What is the most common benign solid tumor of the vulva?

A

Fibroma

22
Q

What commonly causes Vulvar Hematomas?

A

Straddle injury

Sexual assault, etc.

23
Q

What is the recommended treatment for Vulvar Hematomas?

A

Close observation with possible surgical exploration

24
Q

What causes Atrophic Vaginitis?

A

Loss of estrogen

25
Q

What does the external genitalia look like with Atrophic Vaginitis?

A

ATROPHY

  • Decreased labia size
  • Loss of vaginal rugae
  • Vaginal introitus constriction
26
Q

3 external genitalia findings with Atrophic Vaginitis?

A
  • Decreased labia size
  • Loss of vaginal rugae
  • Vaginal introitus constriction
27
Q

What is another name for Squamous Cell Hyperplasia of the Vulva?

A

Lichen Simplex Chronicus

28
Q

What causes Lichen Simplex Chronicus (squamous cell hyperplasia)?

A

Chronic itching/rubbing

29
Q

What are the histo changes that will be present with Lichen Simplex Chronicus?

A
  • Thickened epithelium
  • Hyperkeratosis
  • Elongated rete ridges
30
Q

How does Lichen Simplex Chronicus look on observation?

A

Thickened red/white skin

31
Q

Thickened epithelium, hyperkeratosis and elongated rete ridges

A

Lichen Simplex Chronicus

32
Q

What are the histo changes with Lichen Sclerosis?

A
  • Thin epithelium
  • Inflammatory cells
  • LOSS of rete ridges
33
Q

Thin epithelium and loss of rete ridges

A

Lichen Sclerosis

34
Q

What is present in the superficial dermis that is unique to Lichen Sclerosis?

A

Hyaline zone

35
Q

How does Lichen Sclerosis look?

A

Thin white skin with a crinkled tissue paper appearance

36
Q

Thin white skin with crinkled tissue paper appearance

A

Lichen Sclerosis

37
Q

What is the treatment for Lichen Sclerosis?

A

Clobetasol

38
Q

What are some possible complications of Lichen Sclerosis?

A

Loss of labia
Introitus constriction
Inverted/trapped clitoris

39
Q

Lichen Planus

A

Purplish erosive papules

40
Q

Vulvar Vaginal Gingival Syndrome

A

Lichen Planus of vulva, vagina and mouth

– purple erosive papules

41
Q

What are the symptoms of Lichen Planus?

A

Vulva burning and insertional pain

42
Q

Contact Dermatitis

A

Specific skin irritant causes erythema, edema and ulceration

43
Q

What is the most common vulvovaginal tumor?

A

Bartholin’s cyst

44
Q

How does Bartholin’s cyst present?

A

Unilateral mass – asymptomatic

45
Q

Bartholin’s gland can also have an abscess. What is the cause and symptom?

A

Blockage of purulent material

– PAIN

46
Q

What are 2 possible treatments for a Bartholin’s gland abscess?

A
  • Word catheterization for 4-6 weeks

- Marsupialization

47
Q

What is Marsupialization and when is it used?

A

Used for Bartholin’s gland abscess treatment

= Creates new ductal opening by everting and suturing cyst wall

48
Q

What is Marsupialization?

A

Creating a new ductal opening by everting and suturing cyst wall
– Seen with Bartholin gland abscess treatment

ENRP (45 decks)

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