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Clin Med III > Vagina/Vulva > Flashcards

Vagina/Vulva Flashcards

1
Q

Vagina is made of…

A

non keratinized squamous cells

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2
Q

When is Labial Adhesion/agglutination common?

A

Pre puberty d/t lack of estrogen

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3
Q

Small, nodular mass on the labia minora and majora containing cheesy sebaceous material.

A

Vulvar Inclusion Cysts

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4
Q

Fibromyoma vs Lipoma- which is deeper and slower growing?

A

Fibromyoma

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5
Q

Fibroomyoa vs Lipoma- which contains adipose and which contains connective tissue + smooth muscle?

A

Fibromyoma- CT/SM

Lipoma- adipose (no connecting to overlying dermis)

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6
Q

Inverse acne; follicular occlusions

A

Hidradenitis suppurativa

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7
Q

Tombstone comedomes

A

clusters of open comedomes; present in Hidradenitis Suppurativa

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8
Q

Hidradenitis suppurativa tx

A

Topical clindamycin
Intralesional corticosteroids
Systemic Doxy

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9
Q

Spongiotic histology

A

Vulvar dermatitis (exogenous, endogenous or seborrheic)

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10
Q

Intense vulvar pruritis, “cigarette paper,” figure 8, d/t chronic inflammation; limited to VULVA

A

Lichen Sclerosus

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11
Q

What diagnostic procedure do you need to dx Lichen Sclerosus?

A

Biopsy w/Histo eval showing Lichenoid features

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12
Q

Tx Lichen Sclerosus

A

steroids (topical)

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13
Q

can lichen sclerosus progress to cancer?

A

yes ~4% to SCC

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14
Q

Histo: Acanthosis

A

Lichen Simplex Chronicus

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15
Q

Inflammatory condition of vulva AND VAGINA; discharge unresponsive to tx, pain w/INTERCOURSE
Histo: Lichenoid

A

Lichen Planus

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16
Q

Do you tx Lichen Planus and Sclerosus similarly?

A

Yep. Steroids.

17
Q

2 complications of imperforate hymen (incomplete degen)?

A

Mucocolpos (vag secretions trapped)

Hematocolpos (blood trapped)

18
Q

Vaginal agenesis assoc w/

A

MRKH

19
Q

Vag agenesis- do you they have normal ovaries and uterus?

A

Usually normal ovaries but not uterus

20
Q

Dx of Vag agenesis/atresia

A

US

21
Q

What is abnormal in vaginal atresia?

A

Lower vag is replaced with fibrous tissue

22
Q

Palpable boggy mass on rectoabdominal exam?

A

Vaginal atresia

23
Q

Anterior wall vaginal cyst…

A

urethral diverticulum

24
Q

Lateral wall vaginal cyst…

A

Gartner duct cyst

25
Q

Posterior lower vaginal cyst…

A

Inclusion cyst

26
Q

infl of vulva and vagina

A

vulvovaginitis

27
Q

What are the amsel criteria?

A 
They are for BV.
-Grayish white d/c
-pH >4.5
-Positive whiff test
-Clue cells
min of 3.
28
Q

Even though BV isn’t sexually transmitted, should you tx with antibiotics?

A

Yes. Clindamycin or Metronidazole

29
Q

One of the major risk factors for Vulvovaginal Candidiasis

A

DM

30
Q

Itching, cottage cheese discharge

A

Vulvovag candidiasis

31
Q

Progressive dyspareunia

A

Vulvodynia

32
Q

Small bowel prolapse

A

enterocele

Clin Med III (9 decks)

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