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15 Cards in this Set
- Front
- Back
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What percentage of vulvovaginitis in prepubertal girls is nonspecific?
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25 to 75 percent
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Name 8 other causes of vulvovaginitis in the prepubertal girl
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Pinworm, respiratory pathogens, candida, gardnerella vaginalis, sexually transmitted diseases, foreign body, polyp or tumor, urethral prolapse, lichen sclerosis
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How does gardnerella vaginalis present in a prepubertal girl?
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Usually no discharge
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How does Neisseria gonorrhoeae present in a prepubertal girl?
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usually with a green or mucoid vaginal discharge; rarely asymptomatic
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When is the peak incidence of sarcoma botryoides?
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2-5 years
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How is urethral prolapse treated?
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Topical estrogen cream BID x 2 weeks
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How does Lichen sclerosus present?
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itching, discomfort in the vulvar area, bowel or bladder symptoms, discharge, or bleeding. white onion skin-like lesion, typically in an hourglass configuration with the whitened skin circumscribing the vulvar and perianal areas, may be punctate hemorrhages
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How is lichen sclerosis treated?
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topical, high potency corticosteroids (eg, clobetasol 0.05 percent ointment or halobetasol 0.05 percent ointment), applied twice daily for two weeks up to 12 weeks
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When are labial adhesions treated?
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When they interfere with urination
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How are Labial adhesions treated?
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Topical estrogen cream twice a day at point of midline fusion; do not tear adhesion; apply vaseline BID after separated
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Side effect of premarin cream?
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Breast bud formation; resolves after cessation of topical estrogen cream
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Which adhesions fail treatment with premarin?
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Thick ones without a median raphe
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How are adhesions that fail premarin treatment treated?
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surgically
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Which areas are usually involved in straddle injuries?
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anterior area of the vulva, including the mons, clitoral hood, and anterior aspect of the labia
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Which injuries are more suggestive of sexual abuse?
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the posterior fourchette and hymenal area
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