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Paediatric Surgery
Pediatric and Adolescent Gynecology
Built from Puri — Pediatric Surgery and Pediatric Urology
What’s inside
5 sections · 44 slides
Overview
- What this topic covers
Examining the Young Patient
Why a child's gynecologic exam is different, and how to do it well
- Why pediatric gynecology is its own field
- The pediatric gynecologic examination: the ground rules
- What a normal external exam looks like
Problems Before Puberty
Fusion, discharge, bleeding, and trauma in the prepubertal girl
- Labial fusion: when the labia stick together
- Labial fusion: when to treat, and how
- Preventing recurrence, and the role of surgery
- Vulvovaginitis: the commonest complaint
- Vulvovaginitis: causes and treatment
- Prepubertal vaginal bleeding: rare but always abnormal
- Three things prepubertal bleeding must never miss
- Urethral prolapse: a common mimic of vaginal bleeding
- Doughnut-shaped urethral prolapse
- Benign and malignant lesions of the genital tract
- Genital trauma: two mechanisms to distinguish
- Managing genital trauma and vulvar hematomas
Problems in Adolescence
Pelvic pain, ovarian cysts and tumors, torsion, and blocked menstruation
- Pelvic pain in the adolescent: the approach
- Sorting the causes of adolescent pelvic pain
- Examining and investigating pelvic pain
- Ovarian cysts: mostly harmless and self-limiting
- Benign tumors: the dermoid cyst
- Dermoid cysts by the numbers
- Follow-up and other benign tumors
- Malignant ovarian tumors: usually germ cell
- Ovarian germ cell cancer: outcomes are good
- Prognosis and fertility after germ cell cancer
- Adnexal torsion: what it is and why it is missed
- Diagnosing torsion: a clinical diagnosis
- Treating torsion: save the ovary, do not judge by color
- Torsion of an ovarian dermoid and tube
- Decision flow for suspected adnexal torsion
- Menstrual obstruction: the imperforate hymen
- Complex mullerian anomalies causing obstruction
Summary and Key Messages
What the pediatric surgeon should carry away
- Take-home messages
- Teen with acute right pelvic pain and vomiting; ultrasound shows an enlarged ovary but preserved Doppler flow. Next step?
- References (1/3)
- References (2/3)
- References (3/3)
- Pediatric Surgery and Pediatric Urology