Vulval Lumps and ulcers Flashcards
Causes of lumps - just read
Vulvar cysts. Your vulva has a number of glands, including oil glands, Bartholin’s glands, and Skene’s glands. …
Vaginal cysts. There are several types of vaginal cysts. …
Fordyce spots.
Varicosities.
Ingrown hair.
Vaginal skin tags.
Lichen sclerosis.
Genital herpes.
Vulval warts:
What virus causes this?
How is the virus spread?
What can warts cause anally?
Who else needs to be treated?
How can warts be destroyed in clinic?
How can they be treated at home?
HPV - human papilloma virus
6 and 11 = vulval warts
16, 18 and 33 = vulval and cervical intra-epithelial
Sexually
Anal carcinoma
Partner(s)
Cryotherapy, cautery, excision, laser
Warticon 5g tubes - used every 12 hrs for 3 days
Urethral caruncle - quite common:
What is it?
Where is it found?
Why does it happen?
What does it, in turn, make it painful doing?
How is it treated?
Small red swelling
Urethral orifice
Meatal prolapse
Dysuria
Excision or diathermy
Vulvitis:
What it it?
What causes it?
Vulval inflammation
May be due to infections (HSV) or chemicals (bubble bath)
Vulval ulcers:
What infection should always be considered as a cause? - S
Others causes - read
Syphilis
Carcinoma
TB
Aphthous ulcers
Crohn’s disease
Herpes simplex:
What does it cause?
Why is it important?
Symptoms:
- Prodrome - symptoms?
- What does it then progress to?
Why might urinary retention occur?
What may trigger recurrent attacks?
Treatment
Why can men be falsely accused of infidelity?
Genital infection
3rd commonest STI in the UK
Itching, tingling on the affected skin
Flu-like illness
Progressing to vulvitis, pain and small vesicles
Autonomic nerve dysfunction
Illness, stress, sexual intercourse etc.
Lidocaine gel - you get a lot of pain
Salt bath
Aciclovir - shortens symptoms
They are less symptomatic and may never be aware of the infection.
They could unknowingly infect their partners months or even years later.
Carcinoma of the vulva:
Why do they present late?
When should a patient be referred to test for this?
They form indurated ulcers that aren’t noticed until pain and bleeding which is late
Unexplained vulval lumps urgently
