6 - Gynae - Disorders of the Vulva and Vagina - Anatomy + Vulval Sx

Question 1

borders of vulva? overlaps with ?
Vagina is ? long, lined with ? the bladder is ? and ? and ? are posterior. Most lymph drainage is by ? LNs > femoral > ?? LNs of the pelvis
This is the route for ? spread of ? of the vulva

Answer 1

from labia majora laterally, mons pubis ant, perineum post. - vestibule
7-10cm long - squamous epithelium -
-bladder is ant and urethra and rectum is post
-inguinal LN > femoral > ext iliac LNs of pelvis
metastatic spread of Ca of the vulva

Question 2

Vulval Sx - most commonly ?, ?, ? and superficial ?

Answer 2

pruritis
soreness
burning
superficial dyspareunia

Question 3

Sx can be due to local problems including ?, ?, ? and ? disease. and vulval ? syndromes.

Answer 3

including infection, derm disease, malig and premalig disease, and vulval pain syndromes

Question 4

what affects vulva but rarely the vulva alone?

Answer 4

skin disease

Question 5

? disease may predispose to vulval disease eg candidiasis with ?

Answer 5

systemic disease

Candidiasis w DM

Question 6

causes of vulval pruritis.

• infections?
• derm?
• neoplasia?

Answer 6

• candidiasis, vulval warts, pubic live, scabies
• any condition esp eczema, psoriasis, lichen diseases and contact dermatitis
• carcinoma, premalignant disease