Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

GK F3E5 > Vulvar > Flashcards

Vulvar Flashcards

1
Q

Name the 3 Autoimmune Vulvar Diseases

A

Lichen Slerosis

Lichen Planus

Behcet’s Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name the 5 Vulvar Diseases Specific to “Older Women”

A

Lichen Sclerosis

Lichen Planus

VIND (differentiated)

Vulvar Cancer (unrelated to HPV)

Vulvodynia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  • Autoimmune/Genetic
  • Assoc w/ Hypothyroidism/HLA
  • Koebner’s phenomenon
  • CHRONIC
  • Assoc w/ SCC
A

Lichen Sclerosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  • Pruritis
  • Anal discomfort
  • Nevi
  • Sharp/Demarcated white plaques
  • Cellophane/Wax paper
  • FRAGILITY
  • “figure 8”

What is the dx & treatment & SE of tx?

A

Dx: Lichen Sclerosis

Tx: Super high potency steroid ointment: Clobetasol Ointment

SE: atrophy, dermatitis, rosacea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  • Hx of atopy
  • Triggered by sweating, hygiene, liners, topical meds, tight clothes
  • Weeks to months of burning & pruritus
  • “itch that rashes”
  • Anxiety/Depression
A

Lichen Simplex Chronicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  • Poorly marginated red scaling papules/plaq
  • Initially–> weeps, excoriations, crusts
  • Chronic–> lichenification/callus, HYPOpigmentation w/ moisture

How is it diagnosed?

Tx?

A

Lichen Simplex Chronicus

Dx: Punch biopsy

Tx:

  • Topical Hydrocortisone cream
  • Antihistamine, SSRI daily
  • Loose clothes, no liners, no aggressive hygiene, ↓ stress
  • Bath soaks / Lubricants
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • 50-60 y/o
  • Introital irritation (superficial dyspareunia)
  • BURNING (no pruritus)
  • Vag discharge
  • PE: agglutination of labia minora, introital narrowing, fusion of vestibule, adhesions

Dx? What else do you expect on PE? Tx?

A

Lichen Planus

PE:

(non-erosive) Lacy white fern like / white striae

(erosive) Deep vag erythema, erosions, PURULENT vag secretions

1st line Tx: Hydrocortisone cream/suppository

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

VINU

(vulvar intraepithelial neoplasia usual type)

What are the 3 types of HPV?

What age group?

What 3 RF?

A
  • 16, 18, 31
  • Younger women
  • RF: Smoking, immunosuppression, multiple sex partners
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Dx? How is dx made? Tx?

  • Burning & Prutitus
  • Raised/Flat grey, white, red, black lesions
A

VINU

Dx: Coposcopy/PAP are mandatory bc/ assoc w/ high grade CIN, Biopsy pigmented lesions

Tx: Off label uses, 5FU cream -Efudex), Interferon, Imiquimod cream, surgery w/ CO2 laser(standard of care), Gardasil vaccination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

FU time for VINU

A

Vulvar inspection at 6 months and 12 months

–> then annually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  • Women >70
  • Lower 1/3 of epithelium (inflammation)
  • Assoc w/ squamous cell hyperplasia

Dx? Tx?

A

VIND

Tx: surgical excision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Comorbidities: DM2, obese, HTN

Bimodal: 20-40 / 60-70

A

Vulvar Cancer

Younger: HPV related

Older: chronic irritation, VIND, SC hyperplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  • Pruritus + Cauliflower lesion
A

Vulvar Cancer: SCC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pruritus + raised dark lesion over labia minora/clitoris

A

Vulvar Cancer: Malignant Melanoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Pruritus + raised lesion, ulcerated center, rolled borders

A

Vulvar Cancer: basal cell carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Vulvar Cancer

Staging system?

Tx?

A

Staging: FIGO

Tx: complete surgical removal of tumor + inguinal node dissection

Radiation if spread to lymphnodes

17
Q

Exposure to bacteria, virus, heavy metals, chemicals results in: aphthous ulcers, genital lesions, ery nodosum, palpable purpura, uveitis

Dx? How is it dx? Tx?

A

Behcet’s Disease

Dx criteria: recurrent oral aphthae 3x in 1 year + two of the following: recurrent genital ulcers, uveitis, skin lesions, + pathergy test

Tx: Temovate ointment, Intra-lesional Triamcinolone, systemic corticosteroids if refractory

18
Q
  • Acute painful unilateral labial swelling, painful sitting/walking, drainage
  • Tender fluctuant labial mass, cellulitis, abscess

Dx? Tx?

A

Bartholin Cyst (less painful) or Abscess (more painful)

Tx: I&D + Word catheter & culture the purulent drg for MRSA, E. coli, STIs

Empiric abx: Bactrim, Aug, Cephalo, Doxy

Sits baths 3 days after I&D

NO INTERCOURSE till cath removed

Marsupialization (if severe/recurrent)

19
Q
  • Pelvic floor dysfunction
  • Mood/Anxiety disorder
  • BURNING
  • Introital pain w/ intercourse
  • Pain/erythema limited to vestibule

Dx? PE? Tx?

A

Vulvodynia

PE: Use Q-tip to palpate and single digit exam to feel for spasm/tenderness of pelvic floor

Tx: avoid scented products, intercourse

Sits baths + petroleum jelly

Couples counseling, SNRI

Pelvic floor PT

Topical lidocaine/estrogen

GK F3E5 (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions