Genital lumps Flashcards
Differentials for genital lumps
Bartholian cyst
HPV - genital warts
Vulval cancer
Cervical cancer
Pearly penile papules
Fordyce spots
Skin tags
Molluscum contagiosum
Vulval cancer presentation
Pain
Irritation when sitting
Bleeding
Cervical cancer
PMB
IMB
PCB
Abnormal discharge
Lump investigations
Examination STI screening - triple swabs - HIV, syphilis, Hep B serology - NAAT Speculum exam
What causes condyloma acuminata
HPV 6 and 11
Risk factors for condyloma acuminata
HPV risks:
- multiple sexual partners
- unprotected sex
Risk factors for condyloma acuminata
HPV risks:
- multiple sexual partners
- unprotected sex
Pregnancy
Immunocompromised
HPV infection course
- Incubation
- First lesion
- Active growth
- Host containment
- Late stage infection
- sustained remission
- persistent/recurrent infection
Molluscum contagiosum
Umbilicated pearly lesions
Self limiting
Due to pox virus
Condylomata lata cause
Occurs in secondary syphilis
Features of condylomata lata
Raised, moist plaques
On hands and soles of feet
Highly infectious
Condylomata lata investigations
Syphilis ab serology
GUM advice
Buschke - Lowenstein lesion features
Large cauliflower like lesion
Caused by HPV
Slow growing, locally aggressive and destructive
Wart treatment
Cryotherapy
Imiquimod cream
Podophyllotoxin
Surgery
Wart treatment
Cryotherapy
Imiquimod cream
Podophyllotoxin
Surgery
