Title: Premenarchal vaginal bleeding.

POPLINE Document Number: 299940

Author(s):

Quint EH
Perlman SE

Source citation:

Journal of Pediatric and Adolescent Gynecology, 2001 Aug;14(3):135-136.

Abstract:

The patient is a 5-year-old girl, who was in her usual state of health until 3 days prior to presentation, when she noticed blood in her underwear. Her mother then noticed on and off blood in her panties for 2 days and went to see her pediatrician. She denies any abdominal pain, burning, or itching. She and her mother deny any trauma or possibility of abuse. There are no hormonal medications in the house. Her bowel and bladder habits are unchanged. On examination the patient weighs 18 kg. Her height curve is appropriate. Her head and neck exam is normal. Her breast exam is Tanner stage 1. Her abdomen is soft with no masses. Her pubic hair is Tanner stage 1. Her external genitalia are normal. Her hymen is smooth and annular; no trauma is visible. Some blood is seen around the introitus. Rectal area is intact. (excerpt)

Keywords:

United States
Research Report
Clinical Research
Case Studies
Child, Female
Signs and Symptoms
Bleeding
Physical Examinations and Diagnoses
Ultrasonics
Menarche
Age Factors
Sexual Abuse
Child Abuse
North America
Americas
Developed Countries
Research Methodology
Studies
Child
Youth
Population Characteristics
Demographic Factors
Population
Diseases
Examinations and Diagnoses
Medical Procedures
Medicine
Health Services
Delivery of Health Care
Health
Menstruation
Reproduction
Crime
Social Problems
Sociocultural Factors