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Vaginal Injury in Girls

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1. Vaginal Injury in Girls

Vaginal Injury in Girls Vaginal Injury in Girls 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 Vaginal Injury in Girls Vaginal Injury (...) in Girls Aka: Vaginal Injury in Girls , Vulvar Trauma in Children , Pediatric Vaginal Injury II. Precautions Most cases will be accidental However observe for signs of pediatric sexual abuse and III. Management: Blunt injury (most cases) Superficial ing or Most common site occurs at the fossa between labial majora and labia minora Local bleeding may occur from site Perform gentle hygiene with clear water sitz baths multiple times daily for several days If , child may urinate in the sitz bath Deep s

2019 FP Notebook

2. Delayed retropneumoperitoneum following vaginal laceration in a 7-year-old girl (PubMed)

Delayed retropneumoperitoneum following vaginal laceration in a 7-year-old girl We describe an unusual case of delayed retropneumoperitoneum caused by a deep vaginal laceration as a result trauma from a water jet in a fountain. A 7-year-old premenarcheal girl presented to the emergency department after experiencing an injury from a water jet at a fountain park. Initially, the patient's vital sign and perineum were within normal range. Because the patient's vital signs became unstable 12 hours (...) after vaginal injury, we carried out abdomino-pelvic computed tomography resulting in retropneumoperitoneum. Arterial bleeding from vaginal lateral wall was founded and controlled by electrocoagulation. No damage to the rectum was laparoscopically confirmed. A diagnostic laparoscopy, not laparotomy, should be considered in cases of retropneumoperitoneum with an ambiguous cause first.

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2016 Obstetrics & gynecology science

3. Tight Vaginoscopy: a Simplified Novel Technique for a Better Vaginal Surgery

. In addition to confirmation of suspected vaginal masses or polypi diagnosis, it can be used to diagnose laceration of the vaginal wall in girls due to foreign body , traumatic injuries or sexual abuse. In a systematic review, the effectiveness and feasibility of using hysteroscopy for exploration of the immature genital tract (vaginoscopy) were documented.It may help in the diagnosis and treatment of gynecologic disorders in adolescent patients with an intact hymen, limited vaginal access, or a narrow (...) Party): Mohammed Khairy Ali, Assiut University Study Details Study Description Go to Brief Summary: Bivalve vaginal speculum insertion is a basic final step of vaginal examination. Unfortunately, it can't be inserted in young girls, virgins, nulliparous women with narrow vagina, women with vaginismus or patients with a history of previous vaginal surgery. In such cases, the value of vaginoscopy (examination of the vagina without speculum) is evident. Indications of vaginoscopy are expanding

2017 Clinical Trials

4. Female Urethral Injuries Associated with Pelvic Fracture: A Systematic Review of the Literature. (PubMed)

urethral distraction', 'female pelvic fracture urethral injury' and 'female pelvic fracture urethra girls.' Two authors of this paper independently reviewed the titles, abstracts, and articles in duplicate. We identified 162 individual articles from the databases. Fifty-one articles met our criteria for full review, including 158 female patients with urethral trauma. Of these injuries, 83 (53%) were managed with immediate repair; 17/83 (20%) via primary alignment and 66/83 (80%) via anastomotic repair (...) Female Urethral Injuries Associated with Pelvic Fracture: A Systematic Review of the Literature. To review systematically the literature on female urethral injuries associated with pelvic fracture and to determine the optimum management of this rare injury. Using Meta-analysis of Observational Studies in Epidemiology criteria, we searched the Cochrane, Pubmed and OVID databases for all articles available before 30 June 2016 using the terms 'female pelvic fracture urethroplasty', 'female

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2017 BJU international

5. Genital Complaints in Prepubertal Girls (Diagnosis)

by slow-moving automobiles. Another report from 1999 described two girls who sustained midline splitting injuries of the fossa navicularis and posterior fourchette from "doing the splits" while skating on inline skates. [ ] The image below depicts a bruise near the hymen of an 8-year-old girl that was caused by falling on a rock while climbing up a steep hill. Her older brother was above her and also slid down, landing on her. She and her brother confirmed the history. Bruise in vaginal vestibule (...) younger than 6 years. J Urol . 2006 Dec. 176(6 Pt 1):2632-5. . Dwiggins M, Gomez-Lobo V. Current review of prepubertal vaginal bleeding. Curr Opin Obstet Gynecol . 2017 Oct. 29 (5):322-327. . Holbrook C, Misra D. Surgical management of urethral prolapse in girls: 13 years' experience. BJU Int . 2012 Jul. 110 (1):132-4. . Herrmann B, Crawford J. Genital injuries in prepubertal girls from inline skating accidents. Pediatrics . 2002 Aug. 110(2 Pt 1):e16. . . Pinto SM, Garden AS. Prepubertal menarche

2014 eMedicine Pediatrics

6. Genital Complaints in Prepubertal Girls (Treatment)

by slow-moving automobiles. Another report from 1999 described two girls who sustained midline splitting injuries of the fossa navicularis and posterior fourchette from "doing the splits" while skating on inline skates. [ ] The image below depicts a bruise near the hymen of an 8-year-old girl that was caused by falling on a rock while climbing up a steep hill. Her older brother was above her and also slid down, landing on her. She and her brother confirmed the history. Bruise in vaginal vestibule (...) younger than 6 years. J Urol . 2006 Dec. 176(6 Pt 1):2632-5. . Dwiggins M, Gomez-Lobo V. Current review of prepubertal vaginal bleeding. Curr Opin Obstet Gynecol . 2017 Oct. 29 (5):322-327. . Holbrook C, Misra D. Surgical management of urethral prolapse in girls: 13 years' experience. BJU Int . 2012 Jul. 110 (1):132-4. . Herrmann B, Crawford J. Genital injuries in prepubertal girls from inline skating accidents. Pediatrics . 2002 Aug. 110(2 Pt 1):e16. . . Pinto SM, Garden AS. Prepubertal menarche

2014 eMedicine Pediatrics

7. Genital Complaints in Prepubertal Girls (Overview)

by slow-moving automobiles. Another report from 1999 described two girls who sustained midline splitting injuries of the fossa navicularis and posterior fourchette from "doing the splits" while skating on inline skates. [ ] The image below depicts a bruise near the hymen of an 8-year-old girl that was caused by falling on a rock while climbing up a steep hill. Her older brother was above her and also slid down, landing on her. She and her brother confirmed the history. Bruise in vaginal vestibule (...) younger than 6 years. J Urol . 2006 Dec. 176(6 Pt 1):2632-5. . Dwiggins M, Gomez-Lobo V. Current review of prepubertal vaginal bleeding. Curr Opin Obstet Gynecol . 2017 Oct. 29 (5):322-327. . Holbrook C, Misra D. Surgical management of urethral prolapse in girls: 13 years' experience. BJU Int . 2012 Jul. 110 (1):132-4. . Herrmann B, Crawford J. Genital injuries in prepubertal girls from inline skating accidents. Pediatrics . 2002 Aug. 110(2 Pt 1):e16. . . Pinto SM, Garden AS. Prepubertal menarche

2014 eMedicine Pediatrics

8. Genital Complaints in Prepubertal Girls (Follow-up)

by slow-moving automobiles. Another report from 1999 described two girls who sustained midline splitting injuries of the fossa navicularis and posterior fourchette from "doing the splits" while skating on inline skates. [ ] The image below depicts a bruise near the hymen of an 8-year-old girl that was caused by falling on a rock while climbing up a steep hill. Her older brother was above her and also slid down, landing on her. She and her brother confirmed the history. Bruise in vaginal vestibule (...) younger than 6 years. J Urol . 2006 Dec. 176(6 Pt 1):2632-5. . Dwiggins M, Gomez-Lobo V. Current review of prepubertal vaginal bleeding. Curr Opin Obstet Gynecol . 2017 Oct. 29 (5):322-327. . Holbrook C, Misra D. Surgical management of urethral prolapse in girls: 13 years' experience. BJU Int . 2012 Jul. 110 (1):132-4. . Herrmann B, Crawford J. Genital injuries in prepubertal girls from inline skating accidents. Pediatrics . 2002 Aug. 110(2 Pt 1):e16. . . Pinto SM, Garden AS. Prepubertal menarche

2014 eMedicine Pediatrics

9. Surgical Treatment of Vaginal Cancer (Treatment)

vaginal carcinoma contribute to this low incidence. HPV vaccine In June 2006, the Advisory Committee on Immunization Practices (ACIP) voted to recommend the first vaccine developed to prevent and other diseases caused by HPV type 6, 11, 16, and 18. The vaccine is almost 100% effective in preventing precancerous lesions of the cervix, vulva and vagina, and genital warts caused by the HPV 6, 11, 16, and 18. The FDA has approved Gardasil for girls and women ages 9-26. In 2014, Gardasil 9 was approved (...) injury to these structures during surgery. The sigmoid, on the other hand, reflects away from the posterior vaginal wall at its midpoint, facilitating an approach to the vagina posteriorly through the posterior cul-de-sac and a developed rectovaginal plane. Next: Risk Factors The etiology of vaginal cancer has not been identified. Note that vaginal cancer is not histologically homogeneous; several types of lesions exist, each with its own characteristics, age predilection, aggressiveness

2014 eMedicine.com

10. Surgical Treatment of Vaginal Cancer (Overview)

vaginal carcinoma contribute to this low incidence. HPV vaccine In June 2006, the Advisory Committee on Immunization Practices (ACIP) voted to recommend the first vaccine developed to prevent and other diseases caused by HPV type 6, 11, 16, and 18. The vaccine is almost 100% effective in preventing precancerous lesions of the cervix, vulva and vagina, and genital warts caused by the HPV 6, 11, 16, and 18. The FDA has approved Gardasil for girls and women ages 9-26. In 2014, Gardasil 9 was approved (...) injury to these structures during surgery. The sigmoid, on the other hand, reflects away from the posterior vaginal wall at its midpoint, facilitating an approach to the vagina posteriorly through the posterior cul-de-sac and a developed rectovaginal plane. Next: Risk Factors The etiology of vaginal cancer has not been identified. Note that vaginal cancer is not histologically homogeneous; several types of lesions exist, each with its own characteristics, age predilection, aggressiveness

2014 eMedicine.com

11. Surgical Treatment of Vaginal Cancer (Follow-up)

vaginal carcinoma contribute to this low incidence. HPV vaccine In June 2006, the Advisory Committee on Immunization Practices (ACIP) voted to recommend the first vaccine developed to prevent and other diseases caused by HPV type 6, 11, 16, and 18. The vaccine is almost 100% effective in preventing precancerous lesions of the cervix, vulva and vagina, and genital warts caused by the HPV 6, 11, 16, and 18. The FDA has approved Gardasil for girls and women ages 9-26. In 2014, Gardasil 9 was approved (...) injury to these structures during surgery. The sigmoid, on the other hand, reflects away from the posterior vaginal wall at its midpoint, facilitating an approach to the vagina posteriorly through the posterior cul-de-sac and a developed rectovaginal plane. Next: Risk Factors The etiology of vaginal cancer has not been identified. Note that vaginal cancer is not histologically homogeneous; several types of lesions exist, each with its own characteristics, age predilection, aggressiveness

2014 eMedicine.com

12. Surgical Treatment of Vaginal Cancer (Diagnosis)

vaginal carcinoma contribute to this low incidence. HPV vaccine In June 2006, the Advisory Committee on Immunization Practices (ACIP) voted to recommend the first vaccine developed to prevent and other diseases caused by HPV type 6, 11, 16, and 18. The vaccine is almost 100% effective in preventing precancerous lesions of the cervix, vulva and vagina, and genital warts caused by the HPV 6, 11, 16, and 18. The FDA has approved Gardasil for girls and women ages 9-26. In 2014, Gardasil 9 was approved (...) injury to these structures during surgery. The sigmoid, on the other hand, reflects away from the posterior vaginal wall at its midpoint, facilitating an approach to the vagina posteriorly through the posterior cul-de-sac and a developed rectovaginal plane. Next: Risk Factors The etiology of vaginal cancer has not been identified. Note that vaginal cancer is not histologically homogeneous; several types of lesions exist, each with its own characteristics, age predilection, aggressiveness

2014 eMedicine.com

13. Evaluation of Immunogenicity and Safety of Two 2-dose Human Papillomavirus (HPV) Vaccine Schedules in 9-14 Year Old Girls

Evaluation of Immunogenicity and Safety of Two 2-dose Human Papillomavirus (HPV) Vaccine Schedules in 9-14 Year Old Girls Evaluation of Immunogenicity and Safety of Two 2-dose Human Papillomavirus (HPV) Vaccine Schedules in 9-14 Year Old Girls - 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. Evaluation of Immunogenicity and Safety of Two 2-dose Human Papillomavirus (HPV) Vaccine Schedules in 9-14 Year Old Girls The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01381575 Recruitment Status : Completed First

2011 Clinical Trials

14. Sexual abuse and assault

be of the mouth, vagina or anus, or may only refer to vaginal penetration. The term sexual assault includes other non-consensual sexual activity. History and exam disclosure of inappropriate contact acute anogenital trauma (any change); transections and absent hymen (in children) HIV infection normal genital findings depression anogenital lesions labia and perineum injury non-genital injuries vaginal or penile discharge self-destructive behaviour sexualised behaviours in children chronic medical complaints (...) . Sexually transmitted infections are uncommon in sexually abused pre-pubertal children. Time elapsed since the most recent sexual assault, and the pubertal status of the child, determine the appropriate management strategy in the acute setting. Girls have a higher risk than boys of victimisation such as sexual abuse. Definition The World Health Organization defines sexual violence as "any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances, or acts to traffic or otherwise

2018 BMJ Best Practice

15. Diagnosis and management of epilepsy in adults

, this guideline was updated to take account of new drug safety advice from the Medicines and Healthcare products Regulatory Agency (MHRA), published in April 2018, relating to use of valproate medicines in women and girls of childbearing potential. 454 Warnings have been inserted where relevant in sections 4 and 5 to reflect this advice. 2 Key recommendations New 3 Diagnosis Updated 4 Treatment Updated September 2018 5 Epilepsy and women’s health Updated September 2018 6 Psychiatric comorbidity New 7 Sleep (...) after a seizure, and by recordings during sleep or following sleep deprivation. 16, 37, 38 Incidental epileptiform abnormalities are found in 0.5% of healthy young adults, but are more likely in people with learning disability and psychiatric disorders, patients with previous neurological insult (for example head injury, meningitis, stroke, cerebral palsy), and patients who have undergone neurosurgery. 39-41 Diagnosis and management of epilepsy in adults 3 • Diagnosis 2 +10 | In a patient in whom

2018 SIGN

16. Recurrent uncomplicated urinary tract infections in women: AUA/CUA/SUFU

when UTI symptoms persist following antimicrobial therapy. (Expert Opinion) Estrogen 16. In peri– and post–menopausal women with rUTIs, clinicians should recommend vaginal estrogen therapy to reduce the risk of future UTIs if there is no contraindication to estrogen therapy. (Moderate Recommendation; Evidence Level: Grade B) Introduction rUTI is a highly prevalent, costly, and burdensome condition affecting women of all ages, races, and ethnicities without regard for socioeconomic status (...) bacteremia, such as fever and flank pain. 4 This guideline also excludes those with neurological disease or illness relevant to the lower urinary tract, including peripheral neuropathy, diabetes, and spinal cord injury. Further, this guideline does not discuss prevention of UTI in operative or procedural settings. Symptoms In UTI, acute-onset symptoms attributable to the urinary tract typically include dysuria in conjunction with variable degrees of increased urinary urgency and frequency, hematuria

2019 Canadian Urological Association

17. Dysmenorrhea and Endometriosis in the Adolescent

, also should be considered during evaluation for secondary dysmenorrhea. Any obstructive anomaly of the reproductive tract, whether hymenal, vaginal, or müllerian, can cause secondary dysmenorrhea. Although the true prevalence of endometriosis in adolescents is unknown, at least two thirds of adolescent girls with chronic pelvic pain or dysmenorrhea unresponsive to hormonal therapies and NSAIDs will be diagnosed with endometriosis at the time of diagnostic laparoscopy. The appearance (...) accepted any commercial involvement in the development of the content of this published product. Dysmenorrhea and Endometriosis in the Adolescent ABSTRACT: Dysmenorrhea, or menstrual pain, is the most common menstrual symptom among adolescent girls and young women. Most adolescents experiencing dysmenorrhea have primary dysmenorrhea , defined as painful menstruation in the absence of pelvic pathology. When the patient’s history suggests primary dysmenorrhea, empiric treatment should be initiated. When

2019 American College of Obstetricians and Gynecologists

18. Overweight, Obesity and Contraception

of the vaginal ring is not affected by body weight or BMI. D Combined hormonal contraception (CHC) use is UKMEC 2 for use by women with BMI =30–34 kg/m 2 and UKMEC 3 for women with BMI =35 kg/m 2 . Clinical recommendation B Women with obesity should be informed that: ? risk of thrombosis increases with increasing BMI. ? current CHC use is associated with increased risk of VTE. ? current CHC use is associated with a small increased risk of myocardial infarction and ischaemic stroke. ? if BMI is =35 kg/m 2 (...) 1 Method BMI (kg/m 2 ) UKMEC category* (BMI alone) UKMEC category if obesity is one of multiple risk factors for cardiovascular disease History of bariatric surgery Combined hormonal contraception (COC, vaginal ring, patch) =30–34 2 3 2 =35 3 3 Progestogen-only pill =30–34 1 2 1* =35 Progestogen-only implant =30–34 1 2 1 =35 Progestogen-only injectable (DMPA or NET-EN) =30–34 1 3 1 =35 Copper intrauterine device =30–34 1 1 1 =35 Levonorgestrel-releasing intrauterine system =30–34 1 2 1 =35 BMI

2019 Faculty of Sexual & Reproductive Healthcare

19. An International Consortium Update: Pathophysiology, Diagnosis, and Treatment of PCOS in Adolescence

State College of Medicine 500 University Drive Hershey, PA 17033 (USA) E-Mail plee@psu.edu Keywords: Related Articles for " " Horm Res Paediatr 2017;88:371–395 Abstract This paper represents an international collaboration of paediatric endocrine and other societies (listed in the Appendix) under the International Consortium of Paediatric Endocrinology (ICPE) aiming to improve worldwide care of adolescent girls with polycystic ovary syndrome (PCOS) 1 . The manuscript examines pathophysiology (...) . The clinical symptoms, including hyperandrogenism and chronic anovulation, typically develop during adolescence. Further, the early onset of adrenarche may represent the initial clinical feature of PCOS for some girls [ ]. By the time patients present for medical attention, this multisystem disorder often has become a self-perpetuating derangement in which identification of initiating factors are difficult. Recent insights from genetic epidemiology support long-standing clinical investigations indicating

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2019 Pediatric Endocrine Society

20. Penetrating Trauma-Lower Abdomen and Pelvis

according to their mechanism of injury: 1) those associated with a fracture of the anterior pelvic arch (usually involving the membranous urethra), and 2) those occurring as the result of a straddle injury (usually involving the bulbous urethra). Anterior urethral injuries are less common than posterior injuries. Any female urethral injury is rare and is usually associated with pelvic disruption and/or vaginal laceration [17]. The incidence of urethral injury with pelvic fracture ranges from 0% to 6 (...) . Vaccaro JP, Brody JM. CT cystography in the evaluation of major bladder trauma. Radiographics. 2000;20(5):1373-1381. 17. Chapple CR. Urethral injury. BJU Int. 2000;86(3):318-326. 18. Hemal AK, Dorairajan LN, Gupta NP. Posttraumatic complete and partial loss of urethra with pelvic fracture in girls: an appraisal of management. J Urol. 2000;163(1):282-287. 19. Venn SN, Greenwell TJ, Mundy AR. Pelvic fracture injuries of the female urethra. BJU Int. 1999;83(6):626- 630. 20. Ingram MD, Watson SG, Skippage

2019 American College of Radiology

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