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Newborn Genitalia Exam

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1. Ambiguous genitalia in neonates

Ambiguous genitalia in neonates Ambiguous genitalia in neonates - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Ambiguous genitalia in neonates Last reviewed: February 2019 Last updated: December 2017 Summary Ambiguous genitalia (i.e., a genital phenotype that is neither clearly male nor female) are caused by the atypical development of chromosomal, gonadal, or anatomical sex. The complex group of disorders (...) there is virilisation of a 46,XX fetus by maternal virilising tumours or maternal exposure to androgenic drugs. This topic addresses the initial approach to neonates with ambiguous genitalia who are not identified as having a specific chromosomal syndrome in which ambiguous genitalia may be one of a number of presenting features. History and exam ambiguous genitalia with no palpable gonads ambiguous genitalia with one palpable gonad ambiguous genitalia with bilaterally palpable gonads penile length <2.5 cm

2017 BMJ Best Practice

2. Newborn Genitalia Exam

Exam Aka: Newborn Genitalia Exam , Genitourinary Examination in Infants II. Exam: Female Labia Term infant: Labia majora prominent : Labia minora and Clitoris prominent Vaginal or hymenal tag Normal and require no treatment White mucoid discharge or scant blood Normal response to maternal exposure signs (requires urgent urology/endocrine/ consult prior to gender assignment) Fused labia Clitoromegaly III. Exam: Male ( ) More common in s Retractile that can be milked into do not require additional (...) Newborn Genitalia Exam Newborn Genitalia Exam Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Newborn Genitalia Exam Newborn Genitalia

2018 FP Notebook

3. Guidelines for the Management of Genital, Anal and Throat HPV Infection in New Zealand

, brown or black, can develop (carpet warts). 4. Giant condyloma up to 4cm in size with a cauliflower surface and red or pink in colour usually arise on dry genital skin. 48 Genital warts are frequently multifocal (one or more lesions at one anatomic site, e.g. vulva), or multicentric (lesions on disparate anatomic sites, e.g. perineum and cervix). 49-51 It is important to examine the entire lower genital tract for the presence of multicentric visible warts before treatment. Perianal lesions (...) . A lesion may be small and discrete or may be an extensive plaque covering most of the vulval or perianal skin. It may be clinically indistinguishable from the papular form of external genital warts, but appears more disorganised. 53,54 Histological examination of these lesions shows high-grade intraepithelial neoplasia. HSIL is usually associated with HPV type 16 infection. • Vulval cancer. This may arise from HSIL as a tumour or ulcer. A number of clinical variants of PIN are recognised; many

2017 New Zealand Sexual Health Society

4. Guidelines for the Management of Genital Herpes in New Zealand

Episode Genital Herpes: Third Trimester Acquisition 23 Management of Pregnant Women with Recurrent Genital Herpes 24 Treatment algorithm – Management of Women with History of Genital Gerpes Prior to Pregnancy and Women with First Clinical Episode Greater than 6 Weeks Prior to Delivery 25 NEONATAL HSV INFECTION 25 Transmission to the Fetus and Newborn 26 Disease Classification 26 Table 2: Classification of Neonatal HSV Infection46 27 Management of Neonatal HSV Infection 29 Guidelines for Talking (...) to Parents of a Baby Diagnosed with Neonatal Herpes 30 Anticipatory Management of Newborn Infant with Known Risk for Neonatal HSV91,100 31 Breastfeeding and Use of Oral Aciclovir/Valaciclovir 32 GENITAL HSV INFECTION IN CHILDHOOD 33 ISSUES IN COUNSELLING 34 Key Information for Health Professionals to Give Patients in Counselling 35 REFERENCES 38 MEMBERS OF THE PROFESSIONAL ADVISORY BOARD (PAB) OF THE SEXUALLY TRANSMITTED INFECTIONS EDUCATION FOUNDATION 20173 ABOUT THIS DOCUMENT This document

2017 New Zealand Sexual Health Society

5. Canadian Urological Association guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants (Full Version)

was not asso- ciated with a decreased risk of HSV-2 seropositivity (RR 0.88; CUAJ • February 2018 • Volume 12, Issue 2 E87 Guideline: neonatal circumcision and foreskin care 95% CI 0.77?1.01) and this effect was less protective when restricting the analysis to studies using genital examination rather than self-reported circumcision status (RR 0.97; 95% CI 0.80?1.17). 106 There was a protective effect of MC on syphilis seropositivity (RR 0.67; 95% CI 0.54?0.83), although there was significant heterogeneity (...) Introduction Circumcision is the oldest planned operative procedure in the history of the human civilization, but there continues to be a lack of consensus and strong opposing views on whether universal neonatal circumcision should be adopted as a public health measure. The recent American Academy of Pediatrics (AAP) guideline on male circumcision (MC) reversed its prior stand, stating that the “health benefits of newborn male circumcision outweigh the risks,” and justify access to the procedure

2018 Canadian Urological Association

6. Canadian Urological Association guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants (Abridged Version)

they are age- appropriate to attempt this treatment modality. Physiological phimosis does not require treatment unless the child has recurrent UTIs or balano-posthitis. In some instances, in an older pre-pubertal child, topical steroid therapy can be initiated for persisting physiological phimosis. 4 Recommendations (care of the normal foreskin and physiological phimosis): 1. Neonatal examination of the foreskin and urethral meatus should be part of routine clinical assessment of all newborn boys (...) in the history of human civilization, but there continues to be a lack of consensus and strong opposing views on whether universal neonatal circumcision should be adopted as a pub- lic health measure. The American Academy of Pediatrics 2012 guideline on male circumcision (MC), reversed its prior stand, stating that the “health benefits of newborn male circumcision outweigh the risks” and justify access to the procedure if the parents so choose. 1 The following set of guidelines will investigate and pro- vide

2018 Canadian Urological Association

7. Neonatal stabilisation for retrieval

to drain secretions. VATER/VACTERL association Vertebral defects, anal atresia, cardiac anomalies, tracheo-oesophageal fistula, renal anomalies, limb anomalies. CHARGE association Coloboma of the eye, heart defects, choanal atresia, growth restriction, genital anomalies and ear anomalies. Queensland Clinical Guideline: Neonatal stabilisation for retrieval Refer to online version, destroy printed copies after use Page 7 of 40 Table of Contents 1 Introduction 10 1.1 Indications for transfer or retrieval (...) ) [refer to Queensland Clinical Guideline: Hypoxic-ischaemic encephalopathy (HIE) 11 ] · Seizures [refer to Queensland Clinical Guideline: Neonatal seizures 12 ] · Severe neonatal abstinence syndrome [refer to Queensland Clinical Guideline: Perinatal substance use–neonatal 13 ] · Hyperbilirubinemia [refer to Queensland Clinical Guideline Neonatal jaundice 14 ] · Persistent hypoglycaemia [refer to Queensland Clinical Guideline Newborn hypoglycaemia 15 ] · Sepsis · Conditions requiring specialty

2018 Clinical Practice Guidelines Portal

8. Prevention of Early-Onset Group B Streptococcal Disease in Newborns

Prevention of Early-Onset Group B Streptococcal Disease in Newborns INTERIM UPDATE ACOGCOMMITTEEOPINION Number 797 (Replaces Committee Opinion No. 782, June 2019) Committee on Obstetric Practice The American Academy of Pediatrics, the American College of Nurse-Midwives, the Association of Women’s Health, Obstetric and Neonatal Nurses, and the Society for Maternal-Fetal Medicine endorse this document. Although the American Society for Microbiology cannot endorse this document because the content (...) is primarily acquired by hori- zontal transmission from the mother, but also can be acquired from hospital sources or from individuals in the community (17). The present guidelines are designed to lower the risk of GBS EOD, which is the most common cause of early-onset neonatal sepsis (18). Box1. SummaryofGroupBStreptococcus Guidance Changes What is already known about this topic? Group B streptococcus (GBS) is the leading cause of newborn infection, with the primary risk factor being maternal colonization

2020 American College of Obstetricians and Gynecologists

9. Newborn Gestational Age Exam

Newborn Gestational Age Exam Aka: Newborn Gestational Age Exam , Postnatal Assessment of Gestational Age , New Ballard Score , Ballard Score , Dubowitz Exam , Dubowitz Score II. Background: History New Ballard Score replaces the Dubowitz Score and the original Ballard Scores Dubowitz Score was based on Skin texture, color, and opacity Lanugo Plantar creases Nipples and s Ear form and firmness Genitals Neurologic signs III. Indications Newborn assessment IV. Exam: Neuromuscular Maturity Criteria Score (...) Total Score 20: 32 weeks Total Score 30: 36 weeks Total Score 35: 38 weeks Total Score 40: 40 weeks Total Score 45: 42 weeks VII. Resources New Ballard Score PDF VIII. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Newborn Gestational Age Exam." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Examination About FPnotebook.com

2018 FP Notebook

10. Newborn Exam

Newborn Exam Newborn Exam Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Newborn Exam Newborn Exam Aka: Newborn Exam , Neonatal Exam (...) or harsh or grade III or louder) Transient murmurs (Tricuspid regurgitation, ) Absent Split S2 Common with ( , , pulmonic valve atresia) VIII. Exam: Newborn Skin Exam See Normal transient rashes resolve in minutes to hours Examples: , , , Normal short-term rashes resolve in days to months Examples: , Neonatal , , Lanugo, , Normal - s, long-term rashes that persists for month, years and possibly permanent Examples: s, , Abnormal lesions that may be signs of systemic disease Pallor (e.g. ), Mottling (e.g

2018 FP Notebook

11. Female Genital Mutilation and its Management

be aware that narrowing of the vagina due to type 3 FGM can preclude vaginal examination for cervical smears and genital infection screens. De-infibulation may be required prior to gynaecological procedures such as surgical management of miscarriage (SMM) or termination of pregnancy (TOP). What is the role of de-infibulation in gynaecological practice? Women who are likely to benefit from de-infibulation should be counselled and offered the procedure before pregnancy, ideally before first sexual (...) genital mutilation, also known as ‘female genital cutting’, ‘female genital mutilation/cutting’ or ‘cutting’, refers to ‘all procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons’. 3,5 The widely accepted classification of FGM developed by the World Health Organization (WHO) in 1995 and updated in 2007 is shown in Table 1. FGM is practised for a variety of complex reasons, usually in the belief

2015 Royal College of Obstetricians and Gynaecologists

12. Prevention of Early-Onset Group B Streptococcal Disease in Newborns

Prevention of Early-Onset Group B Streptococcal Disease in Newborns Prevention of Early-Onset Group B Streptococcal Disease in Newborns - ACOG Menu ▼ Prevention of Early-Onset Group B Streptococcal Disease in Newborns Page Navigation ▼ Number 782 (Replaces No. 485, April 2011) Committee on Obstetric Practice The American Academy of Pediatrics, the American College of Nurse-Midwives, the Association of Women’s Health, Obstetric and Neonatal Nurses, and the Society for Maternal-Fetal Medicine (...) organizations are addressed by those organizations. The American College of Obstetricians and Gynecologists has neither solicited nor accepted any commercial involvement in the development of the content of this published product. Prevention of Group B Streptococcal Early-Onset Disease in Newborns ABSTRACT: Group B streptococcus (GBS) is the leading cause of newborn infection (1). The primary risk factor for neonatal GBS early-onset disease (EOD) is maternal colonization of the genitourinary

2019 American College of Obstetricians and Gynecologists

13. WHO guidelines on the management of health complications from female genital mutilation

the partial or total removal of external genitalia or other injury to the female genital organs for non-medical reasons. The procedure has no known health benefits. Moreover, the removal of or damage to healthy genital tissue interferes with the natural functioning of the body and may cause several immediate and long-term health consequences. Girls and women who have undergone FGM are therefore at risk of suffering from its complications throughout their lives. In addition, FGM violates a series of well (...) : Training modules for the syndromic management of sexually transmitted infections: educating and counselling the patient. Geneva: World Health Organization; 2007.WHO guidelines on the management of health complications from female genital mutilation 1 1. Background Female genital mutilation (FGM) comprises all procedures that involve the partial or total removal of external genitalia or other injury to the female genital organs for non-medical reasons (1). Although it is internationally recognized

2016 World Health Organisation Guidelines

14. WHO guidelines for the treatment of Genital Herpes Simplex Virus

. The classical clinical presentation of the first episode of symptoms of primary genital HSV infection is characterized by bilateral clusters of erythematous papules, vesicles or ulcerations on the external genitalia, in the perianal region or on the buttocks, occurring 4–7 days after sexual exposure. This classical syndrome occurs only in 10–25% of primary infections. Although HSV-1 and HSV-2 are usually transmitted by different routes and affect different areas of the body, the signs and symptoms overlap (...) women. Conditional recommendation, moderate quality evidence RECOMMENDATIONS The current guidelines provide six treatment recommendations for genital HSV infections. Recommendations were not updated for rare conditions including HSV meningo-encephalitis and other conditions for which no new information became available since the 2003 WHO STI guidelines. Treatment recommendation for neonatal HSV and treatment of pregnant women to prevent neonatal HSV infection will be made in a separate module

2016 World Health Organisation Guidelines

15. Management of Genital Herpes in Pregnancy

lesions at delivery In the case of recurrent genital herpes infections in the mother, maternal IgG will be protective in the baby and hence the infection risk is low. Conservative management of the neonate is advised. 55 ? Liaise with the neonatal team. ? Surface swabs from the neonate are not indicated. ? No active treatment is advised for the baby. ? Normal postnatal care of the baby is advised with a neonatal examination at 24 hours of age, after which the baby can be discharged from the hospital (...) with HSV infection 14 9. Management of the neonate 15 10. Prevention of postnatal transmission 17 11. Performance measures 18 12. About this guideline 19 References 21 Appendix I 25 Appendix II 26 What’s new in the 2014 Management of Genital Herpes in Pregnancy guideline? This guideline has been written as a consensus guideline between the British Association for Sexual Health and HIV (BASHH) and the Royal College of Obstetricians and Gynaecologists (RCOG) where previously there were two separate

2014 Royal College of Obstetricians and Gynaecologists

16. Harm of HPV vaccine: Latest information and examination of epidemiological studies

Harm of HPV vaccine: Latest information and examination of epidemiological studies MED CHECK - TIP APRIL 2015 / Vol.1 No.1 · Page -The Informed Prescriber C N o 1 M ED HECK Volume 1 April 2 0 1 5 H.pylori eradication may shorten life span CONTENTS (April 2015,Vol. 1, No. 1) Editorial: An independent drug bulletin for medical practice New Products SGLT-2 inhibitors: Unacceptable products -- can we call these “medicines”? Methadone (Limited use): Useful only in opioid rotation with special (...) precautions Reviews H.pylori eradication may shorten life span: Gastric cancer risk decreases, but incidence of C.difficile infection and pneumonia increase instead Harm of HPV vaccine: Latest information and examination of epidemiological studies Plain Language Summary SGLT-2 inhibitors: inaccurate to call these “medicines” What is diabetes? What is insulin? What is the target of treatment? "Pylori" bacteria removal may shorten life Harm of HPV vaccine: epidemiologic studies do not prove safety p.2 p.3 p

2015 Med Check - The Informed Prescriber

17. Herpes simplex - genital

. Whether similar symptoms have been experienced previously. Partner's previous history of cold sores (transmission via oro-genital sexual activity). Examine the person's external genitalia and surrounding skin (lesions are usually bilateral with signs of redness, blistering, and ulceration). Lesions can also affect the vagina and cervix in women, and men who have sex with men may present with herpes proctitis. There may also be tender bilateral inguinal lymphadenitis. Atypical herpes lesions can look (...) episode can last for up to 20 days, while recurrent attacks usually last 5–10 days). Management (self-care and/or antiviral medication). Ask whether the person has identified personal (for example sexual intercourse, sunlight). Examine the external genitalia and surrounding skin — lesions are usually unilateral (initial episodes are bilateral) and localized to the same area in each attack. Determine the person's understanding of genital herpes (causes, prognosis, risk of transmission) and enquire

2017 NICE Clinical Knowledge Summaries

18. Multicystic dysplastic kidney (MCDK) in the neonate: The role of the urologist

: • “multicystic kidney” and “multicystic dysplastic kid- ney” paired with “genitalia” and “genital anoma- lies” (no year restriction) The titles of all identified articles were reviewed. Abstracts were read if titles were pertinent. Abstracts of articles related to pertinent articles were reviewed. English articles were read if pertinent to the questions to be addressed in the update. Relevant articles referenced in the read articles were reviewed for pertinence. 2014 update on management controversies Since (...) renal agenesis” extends to those with a history of MCKD 42,43,45 d. Screening for female anomalies of the internal genitalia is felt to be beneficial, as the manage - ment of female anomalies of the internal genitalia at the onset of puberty may prevent the symptoms of acute abdominal pain and dysmenorrhoea. 43 Opportunities for diagnosis in the asymptomatic female include an early pelvic US in the neonate with the assistance of vaginal infusion of saline. 43 Alternatively, and less invasively

2016 Canadian Urological Association

19. Newborn Genitalia Exam

Exam Aka: Newborn Genitalia Exam , Genitourinary Examination in Infants II. Exam: Female Labia Term infant: Labia majora prominent : Labia minora and Clitoris prominent Vaginal or hymenal tag Normal and require no treatment White mucoid discharge or scant blood Normal response to maternal exposure signs (requires urgent urology/endocrine/ consult prior to gender assignment) Fused labia Clitoromegaly III. Exam: Male ( ) More common in s Retractile that can be milked into do not require additional (...) Newborn Genitalia Exam Newborn Genitalia Exam Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Newborn Genitalia Exam Newborn Genitalia

2015 FP Notebook

20. Obstetrical Gel Use to Shorten Labor and Prevent Lower Genital Tract Trauma

and fecal incontinence. In addition, it is associated with increased maternal and neonatal morbidities including increased risk of lower genital tract lacerations. In an effort to shorten labor and decrease lower genital tract trauma many techniques have been investigated. The objective of our study is to investigate whether the use of obstetric gel shortens the first and second stage of labor and exerts a protective effect on the lower genital tract. Neonatal and maternal morbidities will be also (...) Obstetrical Gel Use to Shorten Labor and Prevent Lower Genital Tract Trauma Obstetrical Gel Use to Shorten Labor and Prevent Lower Genital Tract Trauma - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2018 Clinical Trials

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