phuluong2k
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A 4-year-old girl is brought to the physician by her mother who is concerned because her child has a vaginal discharge. Starting 2 days ago, the child began scratching her vulva and complaining of burning with urination. The child is otherwise healthy and has never had a similar problem. Examination reveals normal structural anatomy for a 4-year-old girl. There is no evidence of atrophy. There is an inflammatory erythema on the medial aspects of the labia majora and excoriations. There is a mucous discharge with a few flecks of blood intermixed. Which of the following is the most likely cause of a vaginal discharge in this patient?
A. Lichen sclerosis
B. Pelvic inflammatory disease
C. Sarcoma botyroides (embryonal rhabdomyosarcoma)
D. Sexual abuse
E. Vaginal foreign body
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| ARJ
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E. Vaginal foreign body
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| chemamr
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E?
maybe the 2nd most likely would be D.
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| mani
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D. Sexual abuse
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| phuluong2k
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E is given answer due to inflammatory erythema, & mucous discharge, but I still confuse with D
Any more comments ?
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| Dot
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i think its E as Kaplan notes also says so.
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