Prepubertal Vaginal Bleeding
| Autor: | Deborah Flowers, Jennifer O. Howell |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
medicine.medical_specialty 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Vaginal bleeding Disease management (health) Child 030219 obstetrics & reproductive medicine Uterine Hemorrhage business.industry Age Factors Disease Management Infant Obstetrics and Gynecology General Medicine Gynecological Examination Surgery Child Preschool Etiology Female medicine.symptom business |
| Zdroj: | Obstetrical & Gynecological Survey. 71:231-242 |
| ISSN: | 0029-7828 |
| Popis: | Prepubertal vaginal bleeding outside the neonatal period is always abnormal and is very alarming to parents. A variety of practitioners, including obstetrician-gynecologists and pediatricians, may be asked to see patients with this presenting complaint, yet many do not receive adequate training in pediatric gynecology.Review of the published literature in PubMed, focusing on the last 20 years, regarding the incidence, etiologies, diagnosis, and management strategies for the common causes of prepubertal vaginal bleeding.Careful history taking and pediatric-specific gynecological examination skills, including awareness of normal anatomy across the age spectrum and the ability to identify an estrogenized hymen, are keys to the appropriate assessment of this clinical problem.Prepubertal vaginal bleeding has many causes and requires a thorough targeted history and pediatric genitourinary examination, requiring knowledge of the variants of normal pediatric genitourinary anatomy. Most causes can be easily treated and are less likely to be due to sexual abuse or malignancy. |
| Databáze: | OpenAIRE |
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