Vulva Flashcards by Jenna Steel

Q

Vulval itch differentials?

A

Candidiasis
trichomoniasis
pubic lice
scabies
dermatitis
psoriasis
lichen sclerosis

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Q

Explain lichen sclerosis?

A

inflammatory, scarring, dermatosis
autoimmune link
hypopigmentation
architeural changes

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Q

Symptoms of vulval lichen sclerosis?

A

itch worse at night
pain
constipation (children)
no change to discharge
hypopigmentation
figure of eight
architectural changes

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Q

Lichen sclerosis on the vulva has a risk of what?

A

scc

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Q

Treatment of lichen sclerosis?

A

gentle skin wash
emoilents
high dose topical steroids (clobetasol propionate)

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Q

Believed to be lichen sclerosis but discharge changes?

A

lichen planus

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Q

Explain atrophic vaginitis?

A

associated with menopause

- atrophy of labia and vaginal opening

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Q

Symptoms of atrophic vaginitis?

A

itch
dryness
atrophy
red membrane

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Q

Treatment of atrophic vaginitis?

A

vaginal oestrogen (cream or ring)
lubrication
massage
vibrators

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Q

What is vulvodynia?

A

vulval discomfort

- diagnosis of exclusion

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Q

Symptoms of vulvodynia

A

pain
burning
blocked feeling during sex
cotton wool elicits pain

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Q

2 categories of vulvodynia?

A

localised/provoked

- generalised / unprovoked

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Q

Treatment for provoked localised vulvodynia?

A

lidocaine ointment

- physio

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Q

Treatment for generalised unprovoked vulvodynia?

A

tricyclics

- gabapentin

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Q

Presentation of FGM?

A

Outer labia fused

- small introitus

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Q

Short term complications of FGM?

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A

Haemorrhage
urinary retention
genital swelling
infection
death

Q

Long term consequences of FGM?

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A

UTIS
Stricture
dyspareunia
obstetric complications

Q

Management of FGM?

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A

Support
risk assess, report?
surgery (de-infibulation)

Q

What surgery can be offered to FGM patients?

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A

de infibulation

Q

Commonest type of vulval cancer?

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A

squamous cell carinoma

- if on bartholins gland = adenocarcinoma

Q

Treatment of vulval cancer?

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A

wide local exicision

- chemotherapy