Teenaged Girl With a Unilateral Swollen Purple Labium

By HENRY SCHNEIDERMAN, MD—Series Editor
Dr Schneiderman is vice-president for medical services and physician-in-chief, Hebrew Health Care, West Hartford, Conn, and president of its Connecticut Geriatric Specialty Group. He is professor of medicine (geriatrics) and associate professor of pathology, University of Connecticut Health Center in Farmington, and clinical professor, nursing, Yale University. | March 3, 2010

HISTORY

A 13-year-old girl is seen because of a genital injury sustained during a fall from her bicycle. Is post-menarchal. Denies any past or present sexual activity, consensual or coercive. Parents report that she has not been ill-adjusted at school and has had no more behavioral issues than her age cohort in recent months.

PHYSICAL EXAMINATION

Young adolescent who is appropriately upset due to pain and to fear that her disfigurement will endure. Tachycardia, hypertension but no tachypnea and no fever. No evidence of sexual trauma or of sexually transmitted infection on examination of mouth and anus. Abdominal examination normal.

WHAT'S YOUR DIAGNOSIS?

(Answer on next page.)

Pages: 1 2 3 4

by sandie hudson | March 18, 2010 10:41 AM EDT

hematoma

TOPIC INDEX

• ADHD
• Allergy
• Asthma
• Atopic Dermatitis
• Autism
• Bacterial Conjunctivitis
• Developmental/Genetic Disorders
• Epilepsy
• Failure to Thrive
• Food Allergies
• GI Disorders
• Lice Treatments
• Obesity
• Respiratory Tract Diseases
• Sexually Transmitted Infections
• Skin Diseases
• Vaccines
• Vitamin D Insufficiency

FROM PHYSICIANS PRACTICE

Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND, May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.

VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri, May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?

Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC, May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.

Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson, May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.

Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker, May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.

Teenaged Girl With a Unilateral Swollen Purple Labium

Join the Conversation