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Author6 Posts
  #1

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





  #2

E. Vaginal foreign body


  #3

E?

maybe the 2nd most likely would be D.



  #4

D. Sexual abuse


  #5

E is given answer due to inflammatory erythema, & mucous discharge, but I still confuse with D

Any more comments ?


  #6

i think its E as Kaplan notes also says so.





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