Vulvar D/O Flashcards

1
Q

Where are the Bartholin Glands?

Should you be able to palpate them?

A

4 o’clock and 8 o’clock locations on the periphery of the vagina

If normal, no

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

____ is a blocked Bartholin duct w/ an accumulation of mucus

A

Bartholin Gland Cyst

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

___ is an obstructed Bartholin duct that becomes infected–> Women who are at higher risk of ____ are at higher risk of this.

A

Bartholin Gland Abscess

STIs

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

What are some S/s of a Bartholin Gland Cyst?

A

Usually, asymptomatic! Probably a coincidental finding on exam
Larger cysts may cause discomfort

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

What are some S/s of a Bartholin gland abscess?

A
  • Acute pain, unable to walk, sit, nor have intercourse
  • Fever
  • Prior hx of Bartholin cyst or abscess
  • Unilateral, warm, tender, soft or fluctuant mass in lower medial labia majora, can extend into upper labia
  • Can be surrounded by erythema and edema
  • Purulent spontaneous drainage possible
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the management for a Bartholin gland cyst?

A

No intervention if asymptomatic!

> 40 y/o—Incision and Drainage w/ bx to exclude malignancy

If symptomatic, manage same as abscess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the management for a Bartholin gland abscess?

A
  • Spontaneous drainage, analgesics, sitz baths
  • Incision and Drainage w/ placement of a Word Catheter
  • Culture/NAAT of purulent discharge (STI, MRSA)
  • Incision and Drainage w/ marsupialization if recurrent

Definitive tx = gland excision
Abx = only for recurrent abscess, MRSA or STI positive, high risk of sepsis

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