Much of the history must be obtained from the parents . 12.4 ). In this video, pediatric and adolescent gynecologist Veronica Alaniz, MD, discusses the indications, proper technique and risks of vaginoscopy and hysteroscopy. This technique is generally successful in cooperative children unless there is a very high crescent-shaped hymen, in which case it is too difficult to shine the light into the small aperture of the vaginal introitus. "Pelvic Exam Variations" by Michael Hughey, MD has been added to 18 collections. Pelvic Exams (for Teens) - Cook Children's - KidsHealth Educational demonstration of a head-to-toe physical exam, vaginal examination, bimanual examination and rectal examination (pelvic examination) of a female b. Begin the procedure with relevant elements of the general pediatric exam,including height and weight and examination of the thyroid, neck, breasts,lungs, heart, and abdomen. In rare circumstances, it may be necessary to use continuous intravenous conscious sedation or general anesthesia to complete an essential examination. Other findings includeecchymoses and "blood blisters," which often develop after mildtrauma such as riding a bicycle. Similarly, a child with an upper respiratory tract infection may autoinoculate her vulva, especially with specific organisms (see Box 12.2 ). Learn how doctors should perform a bedside swallow evaluation! Physical examination of newborn infant newborn examination checklist apgar score assessment. Inspect her for pubic hair and note the condition of the urethra,size of the clitoris, any signs of estrogenization, configuration of thehymen, and perineal hygiene. Children often cannot hold still for long intervals while instruments are being located. Support Lucile Packard Children's Hospital Stanford and child and maternal health. Finally, trauma, either accidental or due to sexualabuse, may cause significant bleeding. Physiologically the childs vulva and vagina are exposed to bacterial contamination from the rectum more often than are the adults. During the exam, your doctor will check your vagina, uterus, and ovaries. Obstet Gynecol Clin NorthAm 1992;19:39, 10. Chronic Pelvic Pain and Endometriosis: Part 2 - UCSF Health Considerable effort should be devoted to gaining the childs confidence and establishing rapport. We see more, treat more and heal more children than any hospital in our seven-state region. The surgical therapy of an ovarian neoplasm in a child should have two goals: the appropriate surgical removal of the neoplasm and the preservation of future fertility. If thechild is anxious, you may need to leave the room and return when she feelsready to be examined; in some cases, the procedure may have to be postponedfor several days. They may be discovered by means of a flashlight or by dabbing of the vulvar skin with clear cellophane adhesive tape, ideally before the child has arisen in the morning. This is referred to as nonspecific vulvovaginitis. If you need to visualize the vagina and cervix and the child is olderthan 2 years, the knee-chest position may be useful. Pelvic Exam | Stanford Medicine 25 | Stanford Medicine
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