Benign/Malignant Conditions of Vulva/Vagina - Moulton Flashcards Preview

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Flashcards in Benign/Malignant Conditions of Vulva/Vagina - Moulton Deck (12)
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1

Clitoromegaly, hypospadic urethral meatus, malpositioned vaginal orifice, normal internal genitalia...Dx?

Causes?

Female pseudohermaphroditism

- CAH
- Exogenous hormones
- Androgen tumor of adrenal or ovaries

2

Tiny red dots in vestibule, very tender, severe pain on intercourse, vulvar pain

Adenitis (vestibulitis)

3

Most common benign tumor of vulva

Fibroma

4

Purplish, polygonal papules that may appear in erosive form on vulva/vagina/gingiva, burning and dyspareunia

Lichen planus

5

Treating atrophic vaginitis

Topical estrogen (oral to prevent recurrence)

6

Treating squamous cell hyperplasia of vulva

Steroid ointment w/ anti-pruritic agent

7

Treating lichen sclerosis

Clobetasol

8

Treating lichen planus

Topical and systemic steroids

9

Which type of vulvar cancer is associated w/ smoking: HPV (warty/basaloid) or non-HPV (keratinized SCC)?

HPV (warty/basaloid)

10

Most common vaginal infection (vaginitis)

Treatment?
STI?

Bacterial vaginosis (Gardnerella, others)

Metronidazole
NO

11

Second most common vaginal infection

pH?

Treatment?

Candidiasis

Low pH (less than 4.5)

Fluconazole, Miconazole (topical)

12

Treatment for trichomonas

pH?

STI?

Metronidazole

High (>4.5)

YES