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POLYPOFVAGINA.pptxPOLYP OF VAGINA
subjective and objective data
A 39-year-old female patient who has a number of moles into her vagina that cause pain while she is menstruating and after . She complains of frequent vaginal bleeding that occurs after sexual encounters has been presenting for about 3 months. She denies, fever, or urinary difficulties, claims to have a decent appetite, and sleeps well when she is not menstruating. On examination vaginal was noted several polyps, each about 7 mm in diameter.
primary diagnosis
Polyp of vagina ICD 10: N84.2
They frequently produce no symptoms. Symptoms include irregular menstrual bleeding, bleeding between periods, abnormally heavy menstrual bleeding (menorrhagia), and vaginal bleeding after menopause, depending on where they occur. Bleeding from the polyp's blood vessels contributes to increased blood loss during menstruation as well as blood "spotting" between periods or after menopause. Pain (dysmenorrhea) can occur if the polyp protrudes from the cervix into the vagina.
DIFFERENCIAL DIAGNOSIS
Cystocele, unspecified
When the wall between the bladder and the vagina weakens, it is called a cystocele. The bladder may sink or sag into the vaginal opening as a result of this. Things that put strain on the pelvic muscles could cause it. The severity of the cystocele determines the course of treatment.
Vaginal prolapse
Vaginal prolapse occurs when the vaginal wall falls out of place. Women who have had multiple vaginal deliveries during delivery, have gone through menopause, smoke, or are overweight are more likely to have this condition. As you become older, your chances of suffering a prolapse rise as well.
DIFFERENCIAL DIAGNOSIS
3. Condyloma
The medical term for genital warts is condyloma. Warts on the genital area are soft, noncancerous growths that can appear on the outside or inside of your vaginal or anus canals, as well as inside the cervix (the lower part of the uterus that connects to the vagina).
4. Cervical Malignancy
Cervical cancer is a cancer that develops in the cells of the cervix, which is the lower section of the uterus that attaches to the vaginal canal. Most cervical cancers are caused by different strains of the human papillomavirus (HPV), a sexually transmitted infection.
treatment plan
Non-Pharmacological
Make seating baths.
Lifting weights larger than 3 pounds is not recommended.
Avoid doing any strenuous workouts and, if possible, refrain from having vaginal intercourse.
Labs, Image studies
Urinalysis (urine test, UA)
Complete blood count (CBC)
Pap Smear (Pap Test)
Pelvic Exam
Ultrasound sonography test USG
Pharmacological Measures
Vaginal estrogen cream 1%, Apply the lotion twice a day, gently lubricating with your finger after you've done your personal hygiene.
Tylenol 325 mg 1 tab each 8 hrs for pain. PO
Referrals: Gynecologist
Follow up: Follow up for test results.
references
Moriarty, N., Salameh, F. T., & Burke, N. (2022). Large vaginal polyp post-Manchester repair masquerading as uterine prolapse. International Urogynecology Journal, 33(2), 439-440.
Makajeva, J., Watters, C., & Safioleas, P. (2021). Cystocele. In StatPearls [Internet]. StatPearls Publishing.
Chan, M. P. (2019). Verruciform and condyloma-like squamous proliferations in the anogenital region. Archives of Pathology & Laboratory Medicine, 143(7), 821-831.
Cordeiro, M. N., De Lima, R. D. C. P., Paolini, F., Melo, A. R. D. S., Campos, A. P. F., Venuti, A., & De Freitas, A. C. (2018). Current research into novel therapeutic vaccines against cervical cancer. Expert Review of Anticancer Therapy, 18(4), 365-376.
