trating injury which may be unintentional or could be associated with sexual abuse. Therefore, patients presenting with these injuries should have sexual abuse considered as part of the management.
Questions for Further Discussion
1. What are some indications for genital examination under general anesthesia?
2. Who are your local consultants for genital trauma?
- Disease: Straddle Injuries | Vulvar Disorders
- Specialty: Anesthesia | Child Abuse and Neglect | Emergency Medicine | Obstetrics / Gynecology | Surgery
- Age: Preschooler
To Learn More
To view pediatric review articles on this topic from the past year check PubMed.
Information prescriptions for patients can be found at MedlinePlus for this topic: Vulvar Disorders
To view current news articles on this topic check Google News.
To view images related to this topic check Google Images.
Heppenstall-Heger A, McConnell G, Ticson L, Guerra L, Lister J, Zaragoza T. Healing patterns in anogenital injuries: a longitudinal study of injuries associated with sexual abuse, accidental injuries, or genital surgery in the preadolescent child. Pediatrics. 2003 Oct;112(4):829-37.
Dowd MD, Fitzmaurice L, Knapp JF, Mooney D. The interpretation of urogenital findings in children with straddle injuries. J Pediatr Surg. 1994 Jan;29(1):7-10.
Merritt DF. Genital trauma in the pediatric and adolescent female. Obstet Gynecol Clin North Am. 2009 Mar;36(1):85-98.
ACGME Competencies Highlighted by Case
1. When interacting with patients and their families, the health care professional communicates effectively and demonstrates caring and respectful behaviors.
2. Essential and accurate information about the patients’ is gathered.
4. Patient management plans are developed and carried out.
7. All medical and invasive procedures considered essential for the area of practice are competently performed.
8. Health care services aimed at preventing health problems or maintaining health are provided.
9. Patient-focused care is provided by working with health care professionals, including those from other disciplines.
10. An investigatory and analytic thinking approach to the clinical situation is demonstrated.
11. Basic and clinically supportive sciences appropriate to their discipline are known and applied.
19. The health professional works effectively with others as a member or leader of a health care team or other professional group.
25. Quality patient care and assisting patients in dealing with system complexities is advocated.
Donna M. D’Alessandro, MD
Professor of Pediatrics, University of Iowa Children’s Hospital