10 Module 4 – Part 1, Common Gynecological Disorders: Introduction and Objectives

Common Gynecological Disorders: Introduction and Objectives

Jean Wilson

Some aspects of this course include descriptions, depictions and illustrations of genitalia and gynecology related physiology and pathology. Some of the content included may be distressing to some. Please use discretion when accessing this content.

Introduction:

Pelvic exam findings can be normal or uncover pathology. This module will provide you with an overview of gynacological conditions that may be found on pelvic exam, specifically on the vulva, vaginal and cervical areas. This module is divided into three areas, with lectures, that focus on findings and conditions that include:

  • Masses and viral lesions
  • Dermatoses
  • Infections
It is important to note that the lectures and associated content in this module is current as of December 2021. For all treatment/management it is essential that clinicians consult the most recent evidence-based guidelines prior to initiating therapy. It is also recommended that for infectious conditions, clinicians check the Public Health Agency of Canada or their local clinical guidelines and recommendations prior to initiating antimicrobial prescriptions and/or recommendations. This will ensure you have the most recent, evidence-based, treatment recommendations for infectious strains found in your practice area/region.

Objectives:

By the end of  this module, learners will be able to:

  1. Identify and manage common findings and conditions of the vulva, vagina and cervix
  2. Facilitate therapeutic management aligned with your knowledge skill and judgment
  3. Identify red flags related to gynecological conditions
  4. Suggest appropriate management and monitoring for the patient
  5. Describe key points related to the need for consult and/or referral

For the following findings:

Part 1: Masses/Viral Lesions

  • Normal cervix/os: Endocervical Cells/Transformation zone
  • Subcutaneous Lesions: Folliculitis, Furuncle (boil), Carbuncle (abscess)
  • Bartholin’s Cysts & Abscesses
  • Herpes Simplex Virus
    • Post herpetic neuralgia
  • Genital Warts: Human Papilloma Virus
  • Molluscum Contagiosum: Poxvirus
  • Cervical Stenosis
  • Cervical Nabothian Cyst
  • Cervical Polyp
  • Cervical Dysplasia/Cervical Intraepithelial Neoplasm
    • Vaginal pap post hysterectomy

Part 2: Vulvovaginal Dermatoses

  • Genitourinary syndrome of menopause (GSM) (previously: vulvovaginal atrophy)
  • Vulvodynia/Vestibulitis/Vaginismus
  • Contact Dermatitis soaps/creams/bubble bath/Vaginal medicines or douching.
  • Lichen Simplex Chronicus
  • Lichen Sclerosus
  • Lichen Planus

Part 3: Vulvovaginitis: Infections

  • Yeast, Candidiasis
  • Bacterial Vaginosis (BV), Gardnerella vaginalis
  • Sexually Transmitted Infection: Trichomonas vaginalis (Strawberry cervix), Chlamydia trachomatis, Neisseria gonorrhoeae
  • Syphilis (Treponema pallidum)
  • Pubic Lice and Scabies

Pre-Module Quiz:


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Gynecological Assessment Copyright © 2022 by Jean Wilson is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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