GYNE – GU TRACT INFECTIONS (MIDTERMS)

VULVA
BACKGROUND MANIFESTATION ETIOLOGY DIAGNOSIS TREATMENT
Bartholin gland -Cyst dilation of -unilateral, tense, - -1 to 8 cm Asymptomatic women under 40 do
infections Bartholin duct and non-painful not need treatment
-Abscess of Classic abscess:
Bartholin gland -erythema -marsupialization
-Adenocarcinoma -acute tenderness
-edema
-cellulitis
ECTOPARASITES
Pediculosis -infestation of -Phthirus pubis -microscopic slide by scratch -Permethrin 1% (Nix crème) for
Pubis crab louse technique 10 mins
-confined to -close contact, -place crust under drop of mineral -Lindane (Kwill) 1% shampoo for 4
hairy areas of towels, beddings oil mins
vulva *SE: seizures
-major *CI: pregnant and lactating,
nourishment is children less than 2
human blood -Pyrethrins with piperonyl
butoxide for 10 mins
Scabies -parasitic -intermittent -Sarcoptes -scratch technique under mineral oil -Permethrin 5% wash off after
infection of the itching scabiei 8-14 hrs
itch mite predominantly at -Ivermectin 0.2mg/kg orally,
night -close contact repeat in 2 wks if necessary
-papules, vesicles, -spread all over -Lindane 1% lotion, 30g, wash off
burrows the body without after 8 hrs
(pathognomonic) predilection to -Antihistamine for pruritus
-“great hairy areas
dermatologic
imitator”
Molluscum -caused by -umbilicated papule -close contact -simple inspection -decrease transmission
contagiosum poxvirus -small nodule or -white waxy material from nodule -autoinoculation of virus
-common domed papule under microscope slide -injection of LA
generalized skin -1 to 5 mm -intracytoplasmic molluscum bodies -ferric subsulfate (Monsel’s
disease in adults -“water wart” (Wright’s or Giemsa stain) solution)
with -inc period: 2-7 wks -85% trichloroacetic acid for
immunodeficiency -1 to 2 solitary base of papule
(esp. HIV) lesions distributed -cryosurgery/electrocautery
over the vulvar skin
HUMAN
PAPILLOMAVIRUS
BACKGROUND MANIFESTATION ETIOLOGY DIAGNOSIS TREATMENT
Condyloma -most common -Imiquimod or
acuminatum viral STD due -Podofilox or
to HPV -Sinecatechins or
-non-oncogenic -TCA/BCA
-HPV 6, 11 -Cryotherapy with liquid nitrogen
Prev:
Bivalent vaccine (Cervarix)
-HPV 16,18
Quadrivalent (Gardasil)
-HPV 6,11,16,18