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Y3 Reproduction > Vulval Conditions > Flashcards

Vulval Conditions Flashcards

1
Q

what is lichen sclerosus?

A

an inflammatory, scaring dermatosis of the ano-genital skin

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2
Q

who is most commonly affected by lichen sclerosus?

A

women

prepubertal or postmenopausal

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3
Q

what diseases is lichen sclerosus linked with?

A

autoimmune conditions

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4
Q

what is the clinical course of lichen sclerosus like in children?

A

can resolve

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5
Q

what is the clinical course of lichen sclerosus like in adults?

A

relapsing

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6
Q

what are the symptoms of lichen sclerosus?

A

itch
pain
dyspareunia
constipation (especially in children)

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7
Q

what is common in the PMH of someone with lichen sclerosus?

A

other skin conditions

autoimmune diseases

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8
Q

what is there a possible risk of developing in lichen sclerosus?

A

SCC

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9
Q

what is involved in the management of lichen sclerosus?

A

genital skin care advice

vert potent topical steroid

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10
Q

what topical steroid is given for lichen sclerosus and how?

A

dermovate

0.5 finger tip unit daily for 12 weeks

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11
Q

what is another name for dermovate?

A

clobetasol propinate 0.05%

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12
Q

what is the management of genitourinary syndrome of the menopause?

A

vaginal oestrogen

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13
Q

how can vaginal oestrogen be administered?

A

ovestin
estring
vagirux

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14
Q

what is vulvodynia?

A

vulval discomfort occurring in the absence of relevant clinical findings of a neurological disorder

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15
Q

how is localised, provoked vulvodynia managed?

A

lidocaine 5% ointment
vaginal trainers
physiotherapy

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16
Q

how is unprovoked vulvodynia managed?

A

tricyclics

gabapentin/pregabalin

17
Q

how is vulval cancer investigated?

A

biopsy
USS groin
MRI

18
Q

how can vulval cancer lesions be managed if they are confined to the vulva?

A

wide local excision

19
Q

how are vulval cancer lesions managed if confined to the pelvis but with more than 1mm of invasion?

A

WLE/BGND

20
Q

how are vulval cancer lesions without obvious groin node involvement managed?

A

chemoradiotherapy

21
Q

what is the most common type of vulval cancer?

A

SCC

22
Q

what is the most common site of vulval adenocarcinoma?

A

bartholins gland

23
Q

how long are patients with vulval cancer followed up for after treatment?

A

five years

24
Q

what are possible precursors for vulval cancer?

A

young women - HPV

older women - lichen sclerosus

Y3 Reproduction (49 decks)

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