|
CURRENT Diagnosis & Treatment Obstetrics & Gynecology, 10e
Genital Injuries
Sections: Vulvar Injuries, Vaginal Injuries, Anogenital
Injuries Caused by Abuse, Protective Services
& Counseling.
Topics Discussed: child protective services; genital injury, female; gynecological examination; gynecology, adolescent; gynecology, pediatric; human immunodeficiency virus infection; perineum injuries; sexual abuse; sexual abuse counseling; sexual abuse of child; sexually transmitted diseases; vaginal hematoma; vaginal injury; vulva, injury of.
Excerpt:
"Most injuries to the genitalia during childhood are accidental.
Many are of minor significance, but a few are life-threatening and
require surgical intervention. The physician must determine how the
child sustained the injury, bearing in mind that the child requires
protection if she is the victim of physical or sexual abuse.Contusion of the vulva usually does not require treatment. A
hematoma manifests as a round, tense, ecchymotic, tender mass (Fig 34–19). A small vulvar hematoma
usually can be controlled by pressure with an ice pack. The vulva should
be kept clean and dry. A hematoma that is large or continues to
increase in size may require incision, with removal of clotted blood
and ligation of bleeding points. If the source of bleeding cannot
be found, the cavity should be packed with gauze and a firm pressure
dressing applied. The pack is removed in 24 hours. Prophylactic
broad-spectrum antibiotics may be advisable.It is imperative to ensure that the child will be discharged
to a safe environment. Sometimes it is advisable to admit the child
to the hospital or to utilize temporary placement. All patients
who are suspected of being victims of child sexual abuse must be
referred..."
The content above is only an excerpt.
For full access, log into an existing user account below, purchase an annual subscription, or purchase a short-term subscription to the complete website.
|
|
|
|
|