vulva

Question 1

causes of pruritis vulvae

Answer 1

disorder causing general pruritis, skin disease, infection and vaginal discharge, infestation, vulval dystrophy, psychogenic

Question 2

what is lichen sclerosis

Answer 2

autoimmune. elastic tissue turns to collagen. bruised red purpuric signs, bullae erosions, ulcerations. vulva gradually becomes white, flat and shiny. very itchy

Question 3

treatment lichen sclerosus

Answer 3

clobetasol proprionate, vulval ablation, topical tacrolimus

Question 4

what is leukoplakia

Answer 4

white vulval patches due to skin thickening and hypertrophy. itchy

Question 5

treat leukoplakia

Answer 5

topical corticosteroids

Question 6

what is bartholins abscess

Answer 6

bartholins glands and ducts lie under labia minora. if duct blocks a painless cyst forms

Question 7

treat bartholins abscess

Answer 7

abscess should be incised. permanent drainage

Question 8

what is vulvitis

Answer 8

vulva inflammation due to infections eg candida, herpes simplex, chemicals. assoc with vaginal discharge

Question 9

causes of vulval ulcers

Answer 9

aways consider syphilis. herpes simplex. carcinoma, chancroid

Question 10

presentation of vulval carcinoma

Answer 10

lump, indurated ulcer which may not be noticed unless causes pain and bleeding, presents late.

Question 11

treatment vulval carcinoma

Answer 11

if small deep node excision not needed. more advanced may need radical vulvectomy