Vulva Flashcards
1
Q
Vulval itch differentials?
A
- Candidiasis
- trichomoniasis
- pubic lice
- scabies
- dermatitis
- psoriasis
- lichen sclerosis
2
Q
Explain lichen sclerosis?
A
- inflammatory, scarring, dermatosis
- autoimmune link
- hypopigmentation
- architeural changes
3
Q
Symptoms of vulval lichen sclerosis?
A
- itch worse at night
- pain
- constipation (children)
- no change to discharge
- hypopigmentation
- figure of eight
- architectural changes
4
Q
Lichen sclerosis on the vulva has a risk of what?
A
- scc
5
Q
Treatment of lichen sclerosis?
A
- gentle skin wash
- emoilents
- high dose topical steroids (clobetasol propionate)
6
Q
Believed to be lichen sclerosis but discharge changes?
A
- lichen planus
7
Q
Explain atrophic vaginitis?
A
- associated with menopause
- atrophy of labia and vaginal opening
8
Q
Symptoms of atrophic vaginitis?
A
- itch
- dryness
- atrophy
- red membrane
9
Q
Treatment of atrophic vaginitis?
A
- vaginal oestrogen (cream or ring)
- lubrication
- massage
- vibrators
10
Q
What is vulvodynia?
A
- vulval discomfort
- diagnosis of exclusion
11
Q
Symptoms of vulvodynia
A
- pain
- burning
- blocked feeling during sex
- cotton wool elicits pain
12
Q
2 categories of vulvodynia?
A
- localised/provoked
- generalised / unprovoked
13
Q
Treatment for provoked localised vulvodynia?
A
- lidocaine ointment
- physio
14
Q
Treatment for generalised unprovoked vulvodynia?
A
- tricyclics
- gabapentin
15
Q
Presentation of FGM?
A
- Outer labia fused
- small introitus
