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Women's Health > Derm > Flashcards

Derm Flashcards

0
Q

How to tx vestibulodynia and vulvodynia?

A

lifestyle changes
education
refer

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1
Q

What is vestibulodynia vs vulvodynia?

A

vestibulodynia: pain w/ sex
vulvodynia: pain, stinging, burning

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2
Q

What can vulvovaginal atrophy cx?

A

dyspareunia in postmenopausal

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3
Q

What is inadequate lubrication?

A

loss of estrogen –> loss of arousal

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4
Q

What can cause inadequate lubrication?

A

pelvic adhesion
vuvlar/vaginal inflammation
meds

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5
Q

What is vulvar lichen sclerosus?

A

benign
chronic
progressive dermatologic condition w/ inflammation, thinning w/ pruitic and pain

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6
Q

What are sx of vulvar lichen sclerosus?

A

vulvar pain/burning
dyspareunia - stenosis, fissures, friable vaginal mucosa
dysuria
WHITE VULVAR

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7
Q

How to dx vulvar lichen sclerosus?

A

vulvar bx - differentiate between vulvar cancer

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8
Q

How to tx vulvar lichen sclerosus?

A

topical corticosteroids - taper
NOT cureable - only control
if doesn’t get better–> bx and refer

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9
Q

What is vulvar intraepithelial neoplasia?

A

precancerous vulvar lesions
raise and WHITE
premenopausal
HPV association

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10
Q

Sx of vulvar intraepithelial neoplasia?

A

itching

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11
Q

How to dx vulvar intraepithelial neoplasia?

A

bx

vinegar wash and vulvar colposcopy

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12
Q

How to tx vulvar intraepithelial neoplasia?

A

excision

f/u closely d/t increased reoccurrence rate

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13
Q

RF for vulvar cancer?

A

erosive lichen planus

lichen sclreosus

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14
Q

What is vulvar cancer associated with?

A

squamous small cell carcinoma

HPV

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15
Q

Sx for vulvar cancer?

A 
pain soreness, itching
chronic
spreads via lymph nodes
labia:
-unifocal plaque
-ulcer/mass
-vulvar pruitis
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16
Q

How to dx vulvar cancer?

A

bx

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17
Q

How to tx vulvar cancer?

A

excision

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18
Q

Cx of contact dermatitis?

A 
soap
laundry
detergents
fabric softners
new clothes
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19
Q

How to tx contact dermatitis?

A

ID the cx

antihistamines for itching

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20
Q

What is paget’s dz?

A

related to carcinoma of: RECTUM, URTHRA, BLADDER

NOT cancerous

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21
Q

What is psoriasis associated with?

A

vulvar lesions

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22
Q

How to tx psoriasis?

A

UV light

mild-mod steroids

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23
Q

What is papillae?

A

sebaceous gland that turns hyperplasitc

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24
Q

How to tx papillae?

A

reassurance

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25
Q

What is bartholin abscess vs gland cyst?

A

abscess: painful

gland cyst: not painful

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26
Q

How to tx bartholin abscess?

A

celluitis:
abx
I&D
excise

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27
Q

How to tx bartholin cyst?

A

supportive

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28
Q

What is molluscum contagiosum?

A

viral infxn

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29
Q

Sx of molluscum contagiousum?

A

smooth bump w/ central umbilication

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30
Q

How to tx molluscum contagiosum?

A

open lesion w/ scalpel
cryosurgery
retin A topical
Benzoyl peroxide topical

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31
Q

How to tx sebacceous/inclusion cysts?

A

Supportive

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32
Q

What is a hidradenitis suppurativa?

A

axillary and groin dz

33
Q

Sx of hidradenitis suppurativa?

A

severe cystic acne

34
Q

How to tx hidradenitis supppurativa?

A

refer
abx
intralesional steroids

35
Q

What are types of female circumcision?

A

clitoridecomy
excision
infibulation
other

36
Q

What is female circumcision?

A

moving clitoris, labia, narrowing vaginal opening

37
Q

What is normal vaginal discahrge?

A

white, transparent
odorless
increases w/ ovulation, rpegnancy, ocp
pH: 4.0-4.5

38
Q

Sx of atrophic vaginits?

A

vaginal dryesness
dyspareunia
thin, friable, pale tissue

39
Q

Whait atrophic vaginitis?

A

decreasing levels of estrogen

40
Q

How ot tx atrophci vaginits?

A

topical estrogen cream
lubricants
moisturizers

41
Q

What is bacteral vaginosis?

A

decrease of vaginal flora –> increase of pH (alkalotic) –> increase of vaginal anaerobes

42
Q

RF for bacterial vaginosis?

A

multiple sex partners
soaps/cleansers
smoking

43
Q

Sx of bacterial vaginosis?

A

off white, thin discharge

fish odor

44
Q

What test for bacterial vaginosis?

A

wet mount - fishy odor w/ KOH

45
Q

How ot tx bacterial vaginosis?

A

topical metrogel

PO metronidazole

46
Q

RF for candida vulvoganitis?

A

rect abx
Dm
increase estrogen levels - pregnancy, OCP
immunocompromised

47
Q

Sx for candidia vulvovaginitis?

A

pruiritis
rythema/sweling of vuvla
dysuria
cottage cheese

48
Q

Test for candida vulvovaginitis?

A

wet mount - budding yeast

culture

49
Q

Tx candida vulvovaginits?

A

fluconazole

boric acid

50
Q

RF for vaginal intraepithelial neoplasia?

A

HPV

older females

51
Q

Association w/ vaginal intraepithelial neoplasia?

A

cervical/vulvar intraepithelial neoplasia

52
Q

How to dx vaginal intraepithelial neoplasia?

A

colposcopy

bx

53
Q

How to tx vaginal intraepithelial neoplasia?

A

exicsion
ablation
topical chemo
radiation

54
Q

What cx vaginal cancer?

A

primary tumor

55
Q

RF for vaginal cancer?

A

mutliple sex partners
early age of sex
smoking

56
Q

Vaginal cancer sx?

A

vaginal bleeding

57
Q

Follicular cyst vs corpus luteum cyst?

A

follicular: ovulation doesnt occur OR doesnt resolve after release of egg
corpus luteum: corpus luteum does NOT die off after ovulation

58
Q

Sx for folliuclar cyst and corpus lutem cyst?

A

enlarged adnexae

abdominal pain

59
Q

What tests to run for follicular/corpus luteum cyst?

A

US
-follicular: smooth, thin walled, unilocular
corpus luteum –> complex

60
Q

How to tx follicular/corpus luteum cysts?

A

self limiting

surgery if doesn’t go away

61
Q

What are the types of polycystic ovary sx?

A 
ovulatory dysfxn
androgen excess
polycystic ovaries
obesity
hyperinsulinemia
62
Q

What is ovulatory dysfxn?

A

oligomenorrhea/amenorrhea
irregular menses
risk of endometrial cancer
andovulatory infertility

63
Q

What is androgen excess - polycystic ovary sx?

A

hirsutism
acne
male pattern baldness

64
Q

What is polycystic ovaries?

A

multiple small follicles
thickened ovary
sclerotic cortex - WHITE CAPSULE

65
Q

What is obesity?

A

screen for metabolic syndrome

66
Q

PE for polycystic ovary sx?

A

enlarged ovaires
hirsutism
obesity

67
Q

What blood test to run for polycystic ovary?

A 
hCG
TSh/FSH
testosterone
DHEA S
lipids
insulin/a1c
68
Q

What imaging to run for polycystic ovary sx?

A

us

69
Q

What is the rotterdam criteria?

A

used do dx polycystic ovary sx

  • oligomenorrhea/avoulation
  • hyperandrogenism
  • polycystic ovaries - us
70
Q

How to tx hirsutism?

A

ocp

spirnolactone

71
Q

How to tx endoemtrium-polycystic ovary sx?

A

OCP

72
Q

How to tx polycystic ovary w/ insulin resistance?

A

metformin

73
Q

What RF for ectopic pregnancy?

A

IUD

hx of tubal surgeries, PID, infertility

74
Q

What are the sx for ectopic pregnancy?

A 
decreased fever
abdominal pain
vaginal bleeding
amenorrhea
N/V
breast tenderness
75
Q

What ot find on pelvic exam - ectopic pregnancy?

A

doughy cul de sac

adenxial mass

76
Q

What blood test for ectopic pregnancy?

A

hCG

77
Q

What are the types of benign ovarian neoplasm?

A

cystadenoma
endometrioma
mature cystic teratoma

78
Q

Sx for benign ovarian neoplasm?

A

pelvic pain
dysmenorrhea
dyspareunia
enlarged ovary

79
Q

How to test for benign ovarian neoplasm?

A

US

80
Q

How ot tx benign ovarian neoplasm?

A

surger

Women's Health (10 decks)

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