vulvar/vaginal disease Flashcards Preview

Ob Gyn > vulvar/vaginal disease > Flashcards

Flashcards in vulvar/vaginal disease Deck (59)
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31

whitish lacy bands or keratosis (wickham striae)

lichen planus

32

presents with chronic vulvar burning, insertional dyspareunia, profuse vaginal discharge

lichen planus

33

does biopsy of lichen planus show any atypia?

no

34

tx of lichen planus

topical steroids

35

between lichen simplex chronicus and lichen planus, which requires a shorter course of tx?

lichen planus

36

between lichen simplex chronicus and lichen planus, which is more likely to recur?

lichen planus

37

tx of psoriasis

1. coal tar + UV light
2. topical steroids

38

inflammatino of sebaceous glands with lesions that are pale red to yellow-pink; may be covered by oil appearing scaly crust

seborrheic dermatitis

39

tx of vulvar dermatitis

1. remove offending agent
2. 5% soln Al acetate
3. topical corticosteroids

40

small smooth nodular material on vulva that may be excised

sebaceous (inclusion) cysts

41

collection of peritoneal fluid within round ligament insertion into labia majora

cyst of the canal of nuck

42

when to tx bartholin's gland cyst with Abx

+ N. gonorrhea OR cellulits

43

premalignant conditions of the vulva

1. paget's disease
2. Vulvar intraepithelial neoplasia (VIN)

44

chronic pruritis, velvety-red lesions that become eczematous & scar into white plaques, age >60

paget's disease

45

tx of paget's disease

wide local excision

46

dx of VIN

colposcopy + biopsy

47

tx of VIN

wide local excision or laser excision

48

f/u of VIN: colposcopy every____ until

every 6 months until disease free x 2 years

49

most common type of vulvar cancer

squamous cell carcinoma

50

where is vulvar cancer usus found?

labia majora

51

dx of vulvar cancer

need to have annual exam & do a biopsy if indicated

52

tx of vulvar cancer

wide local excision with inguinal lymph node dissection

53

how to dx premalginant disease of vagina

1. PAP
2. colposcopy
3. biopsy

54

tx of VaIN

local resection, laser ablation or 5FU

55

in utero exposure to DES assc'd with

clear cell adenocarcinoma

56

peak incidence for vaginal cancer

age 60

57

watery, blood tinged vaginal discharge, postmenopausal bleeding, vaginal pruritis

vaginal cancer

58

tx of stage I, II vaginal cancer

surgical resection

59

tx of stage III, IV vaginal cancer

radiation