RT Book, Section
A1 Dietrich, Jennifer E.
A2 Schafermeyer, Robert
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
SR Print(0)
ID 1105685758
T1 Gynecologic Disorders of Infancy, Childhood, and Adolescence
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-182926-7
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1105685758
RD 2024/04/19
AB Prepubescent  patients  typically  require  an  external  examination  of  the  genitalia  and  specimen  collection  as  indicated.  A  speculum  examination  is  indicated  for  sexually  active  patients,  or  those  with  bleeding  or  a  suspected  foreign  body.Congenital  vaginal  obstruction  may  present  as  an  abdominal  mass  or  bulge  at  the  introitus.Treatment  of  asymptomatic  labial  adhesions  is  not  indicated.  For  symptomatic  relief  estrogen  cream  is  the  first  line  of  therapy.Urethral  prolapse  occurs  most  commonly  in  prepubertal  African  American  females.  Therapy  with  estrogen  cream  may  reduce  swelling  of  urethral  tissue.