The document discusses pruritis vulvae, outlining its various etiologies including infections, medical disorders, and deficiencies. It details recommended investigations such as microscopic examination, urine and blood tests, and special examinations. Treatment options include maintaining local hygiene, wearing loose clothing, topical applications, and, if necessary, surgical intervention.

1. Pruritis vulvae
Dr. Yashika

2. Pruritis vulvae
Etiology:
1. Vaginal discharge : Trichomonas vaginalis, Candida albicans
2. Local skin lesion: Psoriasis, Dermatitis
3. Vulvar infection: Fungal, Viral, Parasitic, STD
4. Medical disorders: Glycosuria
5. Deficiency: Fe, Folic acid, Vit B12 Vit A
6. Psychosomatic causes

3. Investigations
Age of onset
Intensity of itching
Duration
Vaginal discharge
Contraceptive practice
Allergy- nylon, soap, detergent.
History :

4. DM
Liver disorder
Thyroid
Hematological disorder
General examination :

5. Special Investigations
1. Microscopic examination: Vaginal discharge / vulval scarping
2. Urine examination: Sugar, Protein and pus cells.
3. Blood examination: CBC, Thyroid profile, Glucose, LFT, RFT
4. Stool examination: Ova, Parasite, Cyst.

6. Treatment
• Maintain local hygiene.
• Loose fitting clothing
• Local topical application: antibiotics/ clobetasol propionate
• Treat specific disease
• Surgery: Neoplasia invasion