Disorders of vulva & vagina Flashcards Preview

HRR 3 > Disorders of vulva & vagina > Flashcards

Flashcards in Disorders of vulva & vagina Deck (30):
1

Lichen sclerosis- Eti

- Most common epithelial vulvar disorder
- Women > 60
- Benign, chronic inflammatory condition
- Vit A deficiency or autoimmune

2

Lichen sclerosis- Sx

- Pruritis
- Scaring
- Erythema & edema
- White plaques
- Scratch-itch cycle
- Erosion, fissure & ulcers
- Thin, cigarette paper skin

3

Lichen sclerosis- Dx

- Histology on biopsy:
- Thinning epithelium, lymphocytic infiltration, flattening of papillae, thin hyerperkeratotic layer

4

Lichen sclerosis- Tx

- Avoid tight garments, keep dry
- Antihistmine
- Topical steroid- long term tx
- Immune modulators

5

Lichen sclerosis- Complications

- High rates of squamous cell cancer
- Chronic

6

Vulvar Lichen Simplex Chronicus- Eti

- Atopic dermatitis/ eczema, squamous cell hyperplasia of vulva
- Traumatic tissue injury
- Perpetuated by itch scratch cycle

7

Vulvar Lichen Simplex Chronicus- Sx

- Epithelial thickening & hyperkeratosis
- Pruritis
- Raised white lesion

8

Vulvar Lichen Simplex Chronicus- Dx

Biopsy- hyperkeratosis and acanthosis
- No dermal inflammatory infiltrate

9

Vulvar Lichen Simplex Chronicus- Tx

- Sitz baths & lubricants
- Medium potency topical steroids
- Antihistamines

10

Lichen planus- Eti

- Rare
- Mucocutaneous dermatosis
- Erosive
- Unknown pathogenesis

11

Lichen planus- Sx

- Sharply marginated flat-topped papillose on skin
- Severe tissue distruction
- Scarring, urinary & sexual impairment
- Wickham striae, check mouth
- white plaques on mucous membranes

12

Lichen planus- Tx

- Hydrocortisone foam
- Corticosteroids- potent
- Vulvar hygiene
- Cessation of scratching

13

Bartholin cyst- Eti

- Obstruction of bartholin gland
- Infection, congenital narrowing, inspissated mucus

14

Bartholin cyst- Sx

- Pain, tenderness, dyspareunia
- Edematous & inflamed tissues
- Fluctuant, tender mass

15

Bartholin cyst- Dx

Inflamed gland- posterior third of labrum

16

Bartholin cyst- Tx

- Drainage
- Abx

17

Impetigo- Eti

- Staph aureus or strept
- More common in children

18

Impetigo- Sx

- Thin walled bullae
- Reddened edges
- Crusted after rupture- honey colored

19

Impetigo- Tx

- Remove crusts
- Neomycin or bacitracin

20

Hidadenitis suppurativa- Eti

- Infection of apocrine sweat glands with staph or strept

21

Hidadenitis suppurativa- Sx

- Pruritic subQ nodules into abscesses
- Entire skin of vulva- sinuses & scars

22

Hidadenitis suppurativa- Tx

- Drainage
- Abx

23

Vulvodynia- ETi

- Women 20-30- provoked
- Women 60s- unprovoked
- 16% population experiences at some time
- Localized/ provoked v. unprovoked
- hyperinnervation & neurogenic inflammation

24

Vulvodynia- Sx

- Burning, rawness, irritation, dryness and hyperpathia
- Vestibular tenderness
- Pain on vaginal entry/ touching

25

Vulvodynia- Dx

- Itroital pain on entry
- Lidocaine entry test
- vestibular tenderness

26

Vulvodynia- Tx

- Pelvic floor PT
- Vulvar hygiene
- Lidocaine
- Antidepressant

27

Contact dermatitis- Eti

- Contact with irritating or hypersensitive agent

28

Contact dermatitis- Sx

- Inflammation of vulvar tissue
- Can be local or systemic

29

Lichen planus- Dx

Biopsy & clinical picture

30

Contact dermatitis- Tx

- Steroids