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• W2339545707 abstract "Importance Prepubertal vaginal bleeding outside the neonatal period is always abnormal and is very alarming to parents. A variety of practitioners, including obstetrician-gynecologists and pediatricians, may be asked to see patients with this presenting complaint, yet many do not receive adequate training in pediatric gynecology. Evidence Acquisition Review of the published literature in PubMed, focusing on the last 20 years, regarding the incidence, etiologies, diagnosis, and management strategies for the common causes of prepubertal vaginal bleeding. Results Careful history taking and pediatric-specific gynecological examination skills, including awareness of normal anatomy across the age spectrum and the ability to identify an estrogenized hymen, are keys to the appropriate assessment of this clinical problem. Conclusions and Relevance Prepubertal vaginal bleeding has many causes and requires a thorough targeted history and pediatric genitourinary examination, requiring knowledge of the variants of normal pediatric genitourinary anatomy. Most causes can be easily treated and are less likely to be due to sexual abuse or malignancy. Target Audience Obstetricians and gynecologists, family physicians Learning Objectives After completing this activity, the learner will be better able to: Perform a symptom-focused pediatric genitourinary history and examination for the complaint of prepubertal vaginal bleeding, formulate a differential diagnosis for a pediatric patient with vaginal bleeding, and initiate treatment and management strategies for the common diagnoses that cause this complaint." @default.
• W2339545707 created "2016-06-24" @default.
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• W2339545707 date "2016-04-01" @default.
• W2339545707 modified "2023-09-26" @default.
• W2339545707 title "Prepubertal Vaginal Bleeding" @default.
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• W2339545707 doi "https://doi.org/10.1097/ogx.0000000000000290" @default.
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