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Gynae exam > Vulva > Flashcards

Vulva Flashcards

1
Q

Vulva erythematous/rash DDx

A
  • Dermatitis
  • Chronic vulvovaginal candidiasis
  • Psoriasis
  • Tinea cruis
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2
Q

Dermatitis info+ types

A
  • Poorly defined erythema
  • Atopic ➤ personal/family of eczema, hay fever, asthma ➤ impaired epidermal barrier
  • Irritant contact ➤ soap, water, detergents, fragrance, lub, sanitary pads, condoms, sauna
  • Allergic contact
  • Oestrogen hypersensitivity
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3
Q

Dermatitis - Tx

A

Corticosteroids

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4
Q

Chronic vulvovaginal candidiasis - S&S

A

itch, P, discomfort, burning, soreness

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5
Q

Chronic vulvovaginal candidiasis - Tx

A

Hydrocortisone (itch) + topical & oral anti fungal

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6
Q

Chronic vulvovaginal candidiasis - population affected

A

20-40 yo female immunocompetent

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7
Q

Vulva Psoriasis - info

A
  • Defined border
  • Involvement of folds
  • No psoriatic scales
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8
Q

Tinea Cruis - info

A
  • Central clear area
  • Peripheral scalling
  • Follicular papules
    ➤ Fungal infection
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9
Q

Vulva pallor - Ddx

A
  • Litchen Sclerosus
  • Litchen simplex
  • Vitiligo
  • Vulvar intraepithelial neoplasia (VIN)
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10
Q

Litchen sclerosis - Infos

A
  • Porcelain white papules
  • S&S: asymptomatic, itch
  • Genetic / AI link
  • Atrophic / hyperkeratotic
  • Late stage: change in architecture
  • Risk of malignancy
  • Can result in labial lesion + intraoital stenosis
  • Tx: corticosteroid
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11
Q

Vitiligo - Infos

A
  • Asymptomatic

- Depigmentation

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12
Q

VIN - Infos

A
  • Vulvar intraepithelial neoplasia
  • In situ carcinoma
  • Younger women ➤ associated with HPV
  • Associated with lichen sclerosis
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13
Q

Vulvar carcinoma - S&S

A 
Itch
Lump
Bleeding
P
Skin changes
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14
Q

Who is affected by Vulvar carcinoma?

A

70+

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15
Q

What is Vulvar carcinoma associated with?

A 
Smoking
HPV
Immunodeficiency
VIN
Lichen sclerosus
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16
Q

Vulvar carcinoma - Type of CA

A

90% squamous cell carcinoma

17
Q

Vulvar carcinoma - Tx

A

Surgery

? chemo

18
Q

Vulvar carcinoma - morbidity

A

High

19
Q

Vulva erosions - infos

A
  • P due to breach in epithelium
  • Associated with: herpes simplex, ulceration, viral infections, idiopathic
  • Tx: corticosteroid
  • Ex: kitchen planus
20
Q

Vulva lesions - infos

A
  • Linked with gonorrhoea, chlamydia, E. coli
  • Puberty - menopause ++
  • Tx: leave alone if asymptomatic, warm bath, compress, surgery, aspiration
  • Ex: Bartholin cyst = abscess in gland just outside vagina
21
Q

Extra-mammary Paget’s disease - S&S

A

Eczematous itchy plaque

22
Q

Extra-mammary Paget’s disease - Who?

A

60+, postmenopausal

23
Q

Extra-mammary Paget’s disease - Tx

A

Corticosteroid
If fails ➤ surgery, chemo, radio

Investigate local + distant adenocarcinoma

Gynae exam (11 decks)

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