sandra
Forum Guru
Topics: 173
Posts: 408
|
22. A 3-year-old girl is brought to the physician after her mother noted blood on her underpants.
Examination shows genital condylomata acuminata in the perineal, peri-introital, labial, and anal
areas. Some of the pedunculated condylomata appear to have caused the bleeding. She has no
visible intravaginal condylomata or vaginal or anal tears. Her mother has a palmar wart on her hand
but no history of condylomata acuminata. Her mother has a boyfriend who does not live with them
and who has never been left alone with the girl. They live with the mother's 27-year-old brother
who only baby-sits the children when they are asleep. Which of the following is the most
appropriate next step in management?
A
) Psychiatric assessment of the mother
B
) DNA typing of the mother's palmar wart for papillomavirus
C
) Treatment of the mother's palmar wart
D
) Vaginal, anal, and throat cultures for Chlamydia trachomatis and Neisseria gonorrhoeae in the
child
E
) Laser therapy of the condylomata acuminata in the child
___________________
You become what you think you are!
|
| guangyu
Forum Elite
Topics: 28
Posts: 281
|
E
|
| cuadrado_g
Forum Senior
Topics: 16
Posts: 153
|
E
|
| Al Durra
Forum Newbie
Topics: 0
Posts: 11
|
frank child sexual abuse
D
|
| ganesha123
Forum Junior
Topics: 6
Posts: 102
|
D.. to rule out sexula abuse...
|
| Nooran
Forum Newbie
Topics: 8
Posts: 25
|
we have to rule out sexual abuse first ..so D is my first choice answer
|
|
| |
| | | | | | |
