Pruritus_Vulvae_Flashcards
What general advice should be given for managing pruritus vulvae?
General advice for managing pruritus vulvae includes showering the vulval area with emollient, dabbing dry after, avoiding OTC products, wet wipes, perfumed products, tight-fitting clothes, fabric softener, spermicide condoms, and using liberal amounts of emollients.
What should be avoided to prevent pruritus vulvae?
To prevent pruritus vulvae, avoid OTC products, wet wipes, perfumed products, tight-fitting clothes, fabric softener, and spermicide condoms.
What can be used liberally for pruritus vulvae?
Liberal use of emollients can be used for pruritus vulvae.
What can help if sleep is affected by pruritus vulvae?
An antihistamine at bedtime can help if sleep is affected by pruritus vulvae.
How should contact dermatitis causing pruritus vulvae be managed?
Contact dermatitis causing pruritus vulvae should be managed by removing irritant exposure and using emollients as soap substitutes.
What should be used if contact dermatitis is mild?
If contact dermatitis is mild, 1% hydrocortisone should be used.
What should be used if contact dermatitis is severe or lichenified?
If contact dermatitis is severe or lichenified, betamethasone or clobetasol should be used.
When should a patient with contact dermatitis be referred to dermatology?
A patient with contact dermatitis should be referred to dermatology if irritant removal has not resolved the condition.
How should lichen simplex causing pruritus vulvae be managed?
Lichen simplex causing pruritus vulvae should be managed by treating the underlying skin condition with potent topical corticosteroid betamethasone for 14 days and using emollient as a soap substitute.
What is the treatment for lichen sclerosus causing pruritus vulvae?
The treatment for lichen sclerosus causing pruritus vulvae is mentioned in the previous flashcards for lichen sclerosus.
What should be done if the cause of pruritus vulvae is unknown?
If the cause of pruritus vulvae is unknown, use emollient and mildly anxiolytic antihistamine hydroxyzine for symptomatic treatment, and consider 1% hydrocortisone.
What treatment can be considered for symptomatic relief if the cause of pruritus vulvae is unknown?
If the cause of pruritus vulvae is unknown, refer to dermatology, gynecology, or a vulval clinic while using emollient and antihistamine if symptoms persist.
When should a patient with pruritus vulvae be referred to secondary care?
A patient with pruritus vulvae should be referred to secondary care if symptoms persist despite known cause and treatment, if the cause is unclear, or if a pre-malignant condition is suspected.
When should a patient with pruritus vulvae be referred to a specialist under a 2 week wait?
A patient with pruritus vulvae should be referred to a specialist under a 2 week wait if cancer or lymphoma is suspected.
