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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
How to tx papillae?
reassurance
25
What is bartholin abscess vs gland cyst?
abscess: painful | gland cyst: not painful
26
How to tx bartholin abscess?
celluitis: abx I&D excise
27
How to tx bartholin cyst?
supportive
28
What is molluscum contagiosum?
viral infxn
29
Sx of molluscum contagiousum?
smooth bump w/ central umbilication
30
How to tx molluscum contagiosum?
open lesion w/ scalpel cryosurgery retin A topical Benzoyl peroxide topical
31
How to tx sebacceous/inclusion cysts?
Supportive
32
What is a hidradenitis suppurativa?
axillary and groin dz
33
Sx of hidradenitis suppurativa?
severe cystic acne
34
How to tx hidradenitis supppurativa?
refer abx intralesional steroids
35
What are types of female circumcision?
clitoridecomy excision infibulation other
36
What is female circumcision?
moving clitoris, labia, narrowing vaginal opening
37
What is normal vaginal discahrge?
white, transparent odorless increases w/ ovulation, rpegnancy, ocp pH: 4.0-4.5
38
Sx of atrophic vaginits?
vaginal dryesness dyspareunia thin, friable, pale tissue
39
Whait atrophic vaginitis?
decreasing levels of estrogen
40
How ot tx atrophci vaginits?
topical estrogen cream lubricants moisturizers
41
What is bacteral vaginosis?
decrease of vaginal flora --> increase of pH (alkalotic) --> increase of vaginal anaerobes
42
RF for bacterial vaginosis?
multiple sex partners soaps/cleansers smoking
43
Sx of bacterial vaginosis?
off white, thin discharge | fish odor
44
What test for bacterial vaginosis?
wet mount - fishy odor w/ KOH
45
How ot tx bacterial vaginosis?
topical metrogel | PO metronidazole
46
RF for candida vulvoganitis?
rect abx Dm increase estrogen levels - pregnancy, OCP immunocompromised
47
Sx for candidia vulvovaginitis?
pruiritis rythema/sweling of vuvla dysuria cottage cheese
48
Test for candida vulvovaginitis?
wet mount - budding yeast | culture
49
Tx candida vulvovaginits?
fluconazole | boric acid
50
RF for vaginal intraepithelial neoplasia?
HPV | older females
51
Association w/ vaginal intraepithelial neoplasia?
cervical/vulvar intraepithelial neoplasia
52
How to dx vaginal intraepithelial neoplasia?
colposcopy | bx
53
How to tx vaginal intraepithelial neoplasia?
exicsion ablation topical chemo radiation
54
What cx vaginal cancer?
primary tumor
55
RF for vaginal cancer?
mutliple sex partners early age of sex smoking
56
Vaginal cancer sx?
vaginal bleeding
57
Follicular cyst vs corpus luteum cyst?
follicular: ovulation doesnt occur OR doesnt resolve after release of egg corpus luteum: corpus luteum does NOT die off after ovulation
58
Sx for folliuclar cyst and corpus lutem cyst?
enlarged adnexae | abdominal pain
59
What tests to run for follicular/corpus luteum cyst?
US -follicular: smooth, thin walled, unilocular corpus luteum --> complex
60
How to tx follicular/corpus luteum cysts?
self limiting | surgery if doesn't go away
61
What are the types of polycystic ovary sx?
``` ovulatory dysfxn androgen excess polycystic ovaries obesity hyperinsulinemia ```
62
What is ovulatory dysfxn?
oligomenorrhea/amenorrhea irregular menses risk of endometrial cancer andovulatory infertility
63
What is androgen excess - polycystic ovary sx?
hirsutism acne male pattern baldness
64
What is polycystic ovaries?
multiple small follicles thickened ovary sclerotic cortex - WHITE CAPSULE
65
What is obesity?
screen for metabolic syndrome
66
PE for polycystic ovary sx?
enlarged ovaires hirsutism obesity
67
What blood test to run for polycystic ovary?
``` hCG TSh/FSH testosterone DHEA S lipids insulin/a1c ```
68
What imaging to run for polycystic ovary sx?
us
69
What is the rotterdam criteria?
used do dx polycystic ovary sx - oligomenorrhea/avoulation - hyperandrogenism - polycystic ovaries - us
70
How to tx hirsutism?
ocp | spirnolactone
71
How to tx endoemtrium-polycystic ovary sx?
OCP
72
How to tx polycystic ovary w/ insulin resistance?
metformin
73
What RF for ectopic pregnancy?
IUD | hx of tubal surgeries, PID, infertility
74
What are the sx for ectopic pregnancy?
``` decreased fever abdominal pain vaginal bleeding amenorrhea N/V breast tenderness ```
75
What ot find on pelvic exam - ectopic pregnancy?
doughy cul de sac | adenxial mass
76
What blood test for ectopic pregnancy?
hCG
77
What are the types of benign ovarian neoplasm?
cystadenoma endometrioma mature cystic teratoma
78
Sx for benign ovarian neoplasm?
pelvic pain dysmenorrhea dyspareunia enlarged ovary
79
How to test for benign ovarian neoplasm?
US
80
How ot tx benign ovarian neoplasm?
surger

Women's Health (10 decks)

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