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Reproduction Key Information > Vulval Itch > Flashcards

Vulval Itch Flashcards

1
Q

mechanisms of vulval itch causes

A

infective
VIN
menopause
skin conditions

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2
Q

infective causes of vulval itch

A

candidiasis
trichomoniasis
pubic lice
scabies

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3
Q

how can menopause cause vulval itch?

A

atrophic vulvovaginitis

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4
Q

skin conditions that can cause vulval itch

A 
dermatitis
psoriasis
lichen sclerosis
lichen planus
lichen simplex
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5
Q

what is lichen sclerosis?

A

inflammatory dermatosis of the ano-genital skin

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6
Q

peak incidence of lichen sclerosis

A

prepubertal girls

postmenopausal women

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7
Q

presentation of lichen sclerosis

A 
itch, usually at night
pain 
dyspareunia
constipation
absence of red flags
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8
Q

what are red flags in vulval itch?

A

ulcer
lump
weight loss

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9
Q

examination signs of lichen sclerosis

A 
white plaques
figure of 8 anal involvement
vagina not involved
ecchymosis
architectural change (loss of labia minora, narrowed introitus)
erosions
fissures
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10
Q

risks in lichen sclerosis

A

SCC (chronic inflammation)

VIN

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11
Q

risk factor for lichen sclerosis

A

smoking

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12
Q

management of lichen sclerosis

A

skin care
emollients
super potent topical steroids

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13
Q

skin care in lichen sclerosis

A

wash once daily with soap substitute
avoid tight clothing
avoid irritants

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14
Q

peak incidence of lichen planus

A

50-60s

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15
Q

lichen planus associations

A 
AI
itch
pain
dyspareunia
DISCHARGE
oral, nails, hair
inside vagina can be affected
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16
Q

presentation of atrophic vulvovaginitis

A

itch
soreness
dryness
dyspareunia

17
Q

examination findings in atrophic vulvovaginitis

A 
thin discharge
urethral caruncle
atrophy of labia
rugae loss
pallor
petechial haemorrhages 
narrowed introitus
18
Q

management of atrophic vulvovaginitis

A

vaginal oestrogen e.g. ovestin (cream), estring (3 month ring in vagina) and vagirus (nightly)

19
Q

complication of atrophic vulvovaginitis

A

secondary vaginismus

20
Q

management of vaginismus

A

perineal massage
lubricants
vibrator

Reproduction Key Information (69 decks)

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