Vulval conditions

Question 1

Lichen scerosus vs planus vs simplex

Answer 1

insert table

Question 2

What presents w satellite cells

Answer 2

• Candida

Question 3

Appearance of vulval psoraisis

Answer 3

• Itchy sore plaques
• Beefy red, symmetrical
• Affects natal cleft
• Rx w emolients

Question 4

Vulvodynia mx

Answer 4

• Pain for >3/12
• Clothing advise, avoid irritants, dry the vulva
• Medical- top anaesthetic for intercourse, amitriptyline, physio.

Question 5

Vulval ulcers causes (x8)

Answer 5

• Herpes- painful ulcers
• Chancroid- unilateral painful papules
• Syphilis- Painless ulcer
• Lymphogranuloma venereum- painless ulcer w urethritis.
• Granoloma inguinale- chronic, red painless ulcers which bleed easily.
• Apthosis- B/l, VERY painful ulcers.
• Behcet disease- Oral and genital apthous ulcers and ocular involvement.
• Crohn’s- Knife cut ulcers that can form fistula, painless vulval oedema.