Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
7 Cards in this Set
- Front
- Back
|
Most common symptom of vulvar disease:
What should you do if you find a solid lesion? Explain causes of a white lesion: |
pruritus
excise - maybe sarcoma? decrease in vascularity - lichen sclerosis increase in keratin - squamous metaplasia diffuse loss of pigment - vitiligo |
|
|
Causes of a red lesion:
Causes of a blue/black lesion: 4 causes of ulcerative lesions: |
thinning/ulceration of epidermis - inflammation, immune response, neovascularization - diabetic vulvitis (candida), Paget's, psoriasis
increased melanin, blood pigment - trauma, lentigomalignosis, CIS of vulva Crohn's, Behcet's, STD's, cancer |
|
|
Most common causes of contact dermatitis:
most common cause of vulvar vesicles: vulvar infestations: vulvar folliculitis due to Staph: apocrine sweat gland infection, usually seen with SCC: |
sprays, soaps, powders, perfumes, condom allergy
HSV II pubic lice, scabies, pinworms furunculosis hidradenitis suppurativa |
|
|
Most common vulvar "dystrophy":
can affect skin, nails, scalp, vulva, autoimmune, red lesions: You must do what for squamous metaplasia and lichen planus? Fox-Fordyce disease: |
lichen sclerosus
lichen planus send out biopsy occlusion of apocrine sweat ducts with keratin, microcystic disease |
|
|
Bartholin's duct abscesses are usually due to:
Eval for Vulvar Pain Syndrome: Strong association between VIN and what? |
STD's
burning pain, pruritus, get thorough H&P, worse w/ sex, perfumes, douching, urological disorders vulva may be normal, check for infections, color changes; do rectal exam STD's - HPV |
|
|
Usually happens in 7th decade, post menopausal white women, looks like "cake icing":
90% of vulvar cancers are: Most common type: Primary factor for grading: |
EMPD
squamous cell epidermoid cancer tumor size, nodal involvement, differentiation |
|
|
Sarcoma botyroides:
Clear cell adenocarcinoma is usually to exposure to: Major points of vulvar eval: |
vaginal cancer in children <5 y/o
DES lesion - biopsy or refer eval pruritus use pH paper, microscope don't just do the PAP, LOOK at the vagina look for other abnormal areas |
