General Internal Medicine

Question 1

First line treatment for genitourinary syndrome of menopause (vaginal dryness)

Answer 1

Daily vaginal moisturzier and vaginal lubricants

Low-dos topical vaginal estrogen therapy if only symptoms are related to vaginal atrophy

Question 2

What is hidradenitis suppurativa? How is it treated?

Answer 2

Inlfammatoyr skin disorder of the apocrine glands associated with smoking, obestiy, and metabolic syndrome.
Mod-severe dz (recurring nodules or scarring): adalimumab (TNFa inhibitor)