Medicine an Surgery notes

Apr 24th, 2015
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How common is the problem?Why are we worried when vaginal bleeding occur inyoung girls ?Could it be a presentation of serious underlying causes?What are the causes of VBPMG ?How to evaluate & manage these cases ?VAGINAL BLEEDING IN YOUNG CHILDRENSoutheast Asian J Trop Med Public Health. 2003 MarAribarg A, Phupong V.ThilandGirls < 10 years1981 - 200055 girls with vaginal bleeding41 / 55 girls (74.5%) local lesion of the genital tract.Genital tumors 4 girls- hemangioma of the vulva-sarcoma botryoides of the vagina- functional ovarian cyst-granulosa cell tumor of the ovary14 girls (25.5%) systemic hormonal etiology.1 girl precocious puberty with hypothyroidism6 girls constitutional causesGenital bleeding in premenarchealchildrenInt J Gynaecol Obstet. 1995 Apr;49(1):41-5Imai A, Horibe S, Tamaya T . Japan.62 girls < 10 Y genital bleeding1984-199346 / 62 pt (74%) local lesion of the vagina:-28 vulvovaginitis-6 urethral prolapse-6 trauma-3 foreign bodies-3 vaginal tumors 2 sarcoma botryoides 1 endodermal sinus tr16 pt (26%) precocious puberty-6 pt - prec puberty 2ry to a hormonally active ovarian tr- 5 had breast development-3 pt idiopathic prec puberty non had secondary sexualdevelopment-7 pt no specific etiologyThe aetiology of vaginal bleeding inchildren. A 20-year reviewBr J Obstet Gynaecol. 1989 AprHill NC, Oppenheimer LW, Morton KE., London.52 patient

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