vulvodinia Flashcards

1
Q

vulvodinia
def

A

dolor de 3 meses sin enfermedad que lo explique

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2
Q

epidemiologia
edad:
%

A

epidemiologia
edad: 20-50 años
15%

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3
Q

clinica
-sintx
-tipos
-tipo 1º localizada

A

clinica
-sintx: dolor, irritación, quemazón, escozor
-tipos: general, local, provocado o no provocado
-tipo 1º localizada; vestibulo 5

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4
Q

dx

A

exclusion, prueba de hisopo, tapon de Foster, examen vaginal con prueba en fresco, biopsia

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5
Q

Tx
1er paso:

A

Tx
1er paso: disminuir oxalato en dieta+ habitos+ TCC+ lidocaina crema 5%/gel 2%

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6
Q

TX
2do
3er

A

TX
2do: amitriptina
3er gabapentina

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7
Q

tx
4to
5to
6to

A

tx
4to: fisioterapia
5to: infiltrar lidocaina+ metilprednisolina
6to vestivulectomia parcial

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8
Q

tx
-vaginosis+ vulvodinia
-vulvodinia no procada

A

tx
-vaginosis+ vulvodinia: electroestimulación
-vulvodinia no procada: acupuntura

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9
Q

seguimiento
-1er año
-2 años

A

seguimiento
-1er año: trimestre
-2 años: 6 meses

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