Disorders of the vulva & vagina - aa

Question 1

What is the most common nonneoplastic epithelial vulvar disorder?

Answer 1

lichen sclerosus

Question 2

What age group is most likely to get lichen sclerosus?

Answer 2

60+

Question 3

What age group is most likely to suffer from vulvodynia?

Answer 3

20-30 yo

Question 4

What age group is most likely to suffer from impetigo?

Answer 4

kids

Question 5

What are the treatments for lichen sclerosus?

Answer 5

topical testosterone
topical steroid
antihistamine

Question 6

What disorders might be treated by vestibulectomy/removal of tissue?

Answer 6

hidradenitis

vulvodynia

Question 7

What are the treatments for vulvodynia?

Answer 7

physical therapy and biofeedback
topical lidocaine
amitriptyline
vestibulectomy

Question 8

Lichen sclerosus should always be biopsied.
T/F
Why or why not?

Answer 8

True.

High rate of squamous cell cancer following lichen sclerosus.

Question 9

Your patient has multiple pruritic subcutaneous nodules, over the entire vulva, that abscess and rupture. You treat with abx and drain the abscesses. What is it?

Answer 9

hidradenitis - strep/staph in apocrine sweat glands

Question 10

~Vulva pain without visible physical findings
~Patients complain of burning, rawness, irritation, dryness
~20-30 yo women
What is it and what are the two diagnostic criteria?

Answer 10

vulvodynia

1. entry dyspareunia
2. vestibular tenderness (provoked with cotton swab)