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20 Cards in this Set
- Front
- Back
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What are some common benign gynocologic conditions (7)?
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Vulvar dermatoses, nabothian cysts, cervical polyps, uterine fibroids, adenomyosis, endometriosis, ovarian cysts
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What are the 6 most common benign vulvar dermatoses?
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primary irritant, allergic dermatitis,
lichen sclerosus, Lichen planus, squamous cell hyperplasia, psoriasis |
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What kind of psychological effects can vulvar dermatosis have on a woman?
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Frustration, hopelessness, cosmetic concerns, distress & sexual function issues
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What are some of the associated symptoms with vulvar derm?
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pruritis, pain, burning, bleeding & discharge
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What are some components of the history that should be asked with vulvar derm?
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When it first started, sx, tx, Hx of derm disease, sexual hx, dyspareunia, partner having sx
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Should a speculum exam be done with vulvar derm?
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Yes, some vulvar conditions affect the vagina
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What is the definitive diagnostic techinique for vulvar derm?
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biopsy, should be performed liberally to r/o malignancy
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What should be evaluated and r/o with vulvar derm besides malignancy?
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Discharge under microscope to r/o vaginitis & and testing for STI depending on HX
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What are primary irritant & allergic dermititis commonly called?
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Contact dermatitis
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what are the etiologies of PI & AD?
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nonimmunologic for PI & immunologic for AD
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When do sx show for PI & AD?
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PI : appear quickly after exposure to irritant
AD: can take 36-48 hours after allergen exposure |
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What resolves faster, PI or AD?
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Primary irritant dermatitis
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What are some sx of PI?
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burning, pruritis & pain.
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what are some potiential irritants for pts?
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perfumed soaps, feminine hygeine sprays, deodorants, bath bubbles, colored/scented TP, detergents, Napkins, tampons, spermicides, tight clothing (thongs!), synthetic fabrics
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What does PI reveal upon exam?
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erythema of involved skin, excoriation (poss), ulcerations, edema
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What are some known allergens to cause AD of the vulva?
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Pollen, foods, topical/oral meds, latex, poison ivy/oak, & semen
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In the atopic individual, when do sx occur?
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Occasionally with generalized allergy symptoms
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What is found upon physical exam with AD?
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erythema, pruritis, excoriation, dryness, scaling
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How is AD/PI treated?
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Avoidance of irritant/allergen, topical corticosteriods , sitz baths, wet dressings
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What is the course of tx with topical coriticosteriods with PI/AD?
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during irritation & for 4-10 days after it resolves. If severe sx, systemic corticosteriods & antihistimines are used.
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