kmp
Forum Elite
Topics: 38
Posts: 311
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A 4-year-old girl is brought to the
physician by her mother because of a
bloody, greenish, malodorous vaginal
discharge. The discharge was first
noted 3 days ago and has worsened
since then. The girl has no other
symptoms. The mother reports no
concerns regarding abuse of the
child. Examination is attempted but
impossible because of the child's
absolute refusal to be examined.
Several efforts at persuasion are
made but are unsuccessful. Which of
the following is the most appropriate
next step in management?
A. Reassurance and expectant
management
B. Antibiotic administration
C. Police notification
D. Examination under anesthesia
E. Pelvic examination with
physical restraint
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| an
Forum Guru
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Posts: 437
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D.exam under anesthesia
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I don't believe in miracles...I rely on them. And sometimes, I create my own.
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| msyamp
Forum Fanatic
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GOOD ONE. I THINK d TOO
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| kmp
Forum Elite
Topics: 38
Posts: 311
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Correct ans is D. Examination under anesthesia
A discharge such as that described above requiresa full evaluation. Thedifferentialdiagnosis includes infection, tumor,trauma, and vaginal foreign body. In a 4-year-old girl, a vaginal foreign
body is a common cause of a greenish, bloody, foul-smelling vaginal discharge.
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| hunk
Forum Newbie
Topics: 2
Posts: 5
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D it is...
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