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<< Diagnosing and Managing Common Genital Emergencies in Pediatric Girls (Trauma CME)

Points and Pearls Digest

Points and Pearls Excerpt

  • Unestrogenized tissues in prepubertal girls can lead to significant bleeding at the time of injury; however, spontaneous hemostasis is generally achieved by the time the medical evaluation is complete.
  • Children should never be forced into a genitourinary examination position. Having the child sit on a parent’s lap in a supine, frog-leg position can make the examination more comfortable for some children. Anxiolysis or procedural sedation may be required if the child is uncooperative.
  • Patients with genitourinary emergencies should be evaluated for evidence of urinary obstruction.
  • Traumatic genitoanal injuries can be classified using an injury severity score. (See Table 2.) Scores of II or greater may warrant specialty consultation.

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