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54 Cards in this Set
- Front
- Back
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Vaginal infections show
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unusual vaginal discharge
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Etiology: Human Papilloma Virus (HPV) Types 16 & 18: aneuploid, premalignant or malignant lesions of female genital tract, Types 6 & 11: benign, euploid lesions
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Condyloma Acuminatum
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Vulvar warts, Raised & ragged lesions (cauliflower lesions) in 30% of px - 70% are subclinical (identified by applying 3 – 5% acetic acid to epithelium)
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Condyloma Acuminatum
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Usually in area of perineum, Spread by skin – to – skin contact, Usually presents with pruritus
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Condyloma Acuminatum
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Diagnosis of Condyloma Acuminatum
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Biopsy Routine cytology shows koilocytosis (cells with perinuclear halos)
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Etiology: Human Papilloma Virus (HPV) Types 16 & 18: aneuploid, premalignant or malignant lesions of female genital tract,Types 6 & 11: benign, euploid lesions
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Condyloma Acuminatum
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Vulvar warts, Raised & ragged lesions (cauliflower lesions) in 30% of px - 70% are subclinical (identified by applying 3 – 5% acetic acid to epithelium)
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Condyloma Acuminatum
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Usually in area of perineum, Spread by skin – to – skin contact, Usually presents with pruritus
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Condyloma Acuminatum
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Diagnosis of Condyloma Acuminatum
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Biopsy Routine cytology shows koilocytosis (cells with perinuclear halos)
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Genital tract infections are most common during
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reproductive age
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LOWER GENITAL TRACT INFECTIONS are usually transmitted how?
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sexually
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___ genital tract infections include infections of the vulva & vagina
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lower
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Vulvar infections show
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vulvar soreness, pruritus, lesions -> a biopsy may be needed to obtain definitive dx
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Vaginal infections show
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unusual vaginal discharge
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Etiology: Human Papilloma Virus (HPV)
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Condyloma Acuminatum
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aneuploid, premalignant or malignant lesions of female genital tract
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Human Papilloma Virus (HPV) Types 16 & 18
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HPV Types 6 & 11:
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benign, euploid lesions
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Vulvar warts
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Condyloma Acuminatum
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Raised & ragged lesions (cauliflower lesions) in 30% of px
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Condyloma Acuminatum
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70% are subclinical (identified by applying 3 – 5% acetic acid to epithelium)
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Condyloma Acuminatum
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Usually in area of perineum
Spread by skin – to – skin contact Usually presents with pruritus |
Condyloma Acuminatum
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treatment of Condyloma Acuminatum
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Depends on size & location, Goal of tx: eradicate lesion!
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Excision (good because you will have specimen for biopsy),Electrocautery (no specimen for biopsy), Cryotherapy, Laser vaporization, Chemical cautery (usually used if lesion is tiny; imiquimod is used)
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Treatment options for Condyloma Acuminatum
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Characteristic lesion: vesicles
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Herpes Genitalis
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May become ulcerative later in the course of disease
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Herpes Genitalis
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Ulcers heal spontaneously w/o scarring (painful when touched)
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Herpes Genitalis
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Recurrent & incurable sexually transmitted disease
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Herpes Genitalis
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1st recurrence usually w/in 6 mos
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Herpes Genitalis
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May recur 4x in first year
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Herpes Genitalis
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Features: sacro – neuralgia, vulvar burning, tenderness, pruritus, inguinal adenopathy, These may appear hours to 5 days before vesicle formation
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Herpes Genitalis
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Spread by asymptomatic shedding (occurs 2 – 3w after lesions appear)
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Herpes Genitalis
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Diagnostic Test for Herpes Genitalis
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PCR – most accurate & sensitive
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Treatment for Herpes Genitalis
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Acyclovir (topical/oral), Reduces duration of ulcerative lesions, Minimal toxicity , Stop after 12 mos to determine recurrence
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Recurrence is greater following a primary infection with
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HSV – 2 than HSV – 1
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Etiology: Poxvirus , Common in immunodeficient adults (esp HIV – infected individuals)
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Molluscum Contagiosum
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Asymptomatic, Nonsexual transmission; usually skin – to – skin contact, Characteristic lesion: umbilicated papule “water wart”
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Molluscum Contagiosum
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Confirmatory intracytoplasmic molluscum bodies w/ Wright’s/Giemsa stain
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Molluscum Contagiosum
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Usually self – limiting, May be treated chemically or by cryosurgery/electrocautery
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treatment for Molluscum Contagiosum
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Etiology: 1. Cystic dilatation of duct 2. Abscess formation 3. Mechanical obstruction (inflammation/trauma)
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Infection of Bartholin’s glands
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Px complains of “swelling of vulva”, Unilateral/bilateral infection usually NOT caused by STD, Duct cysts
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Infection of Bartholin’s glands
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Abscess, infection usually caused by Staphylococcal
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Infection of Bartholin’s glands
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Diagnosis for Infection of Bartholin’s glands
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Culture & sensitivity and Gram’s stain
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Treatment for Infection of Bartholin’s glands
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Marsupilization
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Development of a fistulous tract from Bartholin’s duct to vestibule, to allow continuous drainage -> drained pus is sent for culture & sensitivity, Incision & drainage is not enough because recurrence will occur
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Marsupilization
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Excision of duct & gland indicated if:
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Persistent deep infection, multiple recurrences of abscess, gland enlargement in women >40
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2 rounded pea – sized glands located at entrance of vagina (5 & 7 o’clock positions)
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Normal Bartholin’s glands
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Etiology: Treponema pallidum
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Syphilis
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Classic: chancre (painless ulcer)
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Primary Syphilis
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- Heals spontaneously w/in 2 – 6w (high rate of transmission)
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Primary Syphilis
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red macules & papules over palms & soles Due to hematogenous spread of spirochetes
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secondary lesion of syphilis
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gummas (cold abscess) Potentially destructive on different organ systems(CVS, CNS, MSK)
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tertiary lesion , syphilis
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Useful index for syphilis tx response (+) after 4 – 6w from exposure
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Non – specific tests (VDRL & RPR)
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- false positive result due to excess of anticardiolipin antibody
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Prozone phenomenon
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Tx for syphilis
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Penicillin G Alternative: Tetracycline/Doxycycline
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