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Findings in physical examination of the external genitalia In pediatric age − different is not always pathological - Part II (female)

2021-03Journal article Open access
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dc.contributor.authorTeles-Pinto, Nuno
dc.contributor.authorMorais-Costa, Diana
dc.contributor.authorMarinho, Ana Sofia
dc.contributor.authorMoreira-Pinto, João
dc.date.accessioned2021-10-04T08:20:38Z
dc.date.available2021-10-04T08:20:38Z
dc.date.issued2021-03
dc.description.abstractIntroduction: Findings in the physical examination of the external genitalia in children are often a source of concern and anxiety for parents and caregivers. Due to the proximity and role in child’s periodic surveillance, the family physician is in a privileged position to identify and initially provide guidance on these situations, key for the success of future interventions. Objectives: To review available evidence on the main variations and anomalies of the external female genitalia in pediatric age, focusing on diagnosis and clinical approach in primary health care. Results: In most cases, anomalies of the prepubertal female external genitalia are only variants of normal and/or do not significantly affect function, hence not requiring intervention other than clinical surveillance – e.g., fusion of labia minora. However, others require referral to secondary health care − like congenital vaginal obstruction or clitoral hypertrophy –, with early intervention being crucial for the success of implemented measures in some cases. Conclusion: Genital pathology in prepubertal children is most often diagnosed by systematic and careful physical examination and usually has a favorable outcome. It is important to distinguish variants of normal from situations requiring more specialized assessment, in order to optimize health care system resources without overloading it and decrease parental anxiety.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationTeles-Pinto N, Morais-Costa D, Marinho AD, Moreira-Pinto J, Nascer e Crescer - Birth and Growth Medical Journal 2021;30(1): 33-38. doi:10.25753/BirthGrowthMJ.v30.i1.18703pt_PT
dc.identifier.doi10.25753/BirthGrowthMJ.v30.i1.18703pt_PT
dc.identifier.issn2183-9417
dc.identifier.urihttp://hdl.handle.net/10400.16/2501
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Hospitalar Universitário do Portopt_PT
dc.relation.publisherversionhttps://revistas.rcaap.pt/nascercrescer/article/view/18703pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectchildpt_PT
dc.subjectfemalept_PT
dc.subjectexternal genitaliapt_PT
dc.subjectanomaliespt_PT
dc.subjectphysical examinationpt_PT
dc.subjectchildrenpt_PT
dc.subjectmalept_PT
dc.subjecturogenital abnormalitypt_PT
dc.titleFindings in physical examination of the external genitalia In pediatric age − different is not always pathological - Part II (female)pt_PT
dc.title.alternativeAlterações ao exame físico do aparelho genital em idade pediátrica - o que é diferente nem sempre é patológico – Parte II (feminino)pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePorto, Portugalpt_PT
oaire.citation.endPage38pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage33pt_PT
oaire.citation.titleNascer e Crescer - Birth and Growth Medical Journalpt_PT
oaire.citation.volume30pt_PT
person.familyNameMoreira-Pinto
person.givenNameJoão
person.identifier.ciencia-id2B14-7F87-5A24
person.identifier.orcid0000-0001-9245-3733
person.identifier.scopus-author-id26635780500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication5f9ffd38-05cb-4a53-919b-19c7da6b826b
relation.isAuthorOfPublication.latestForDiscovery5f9ffd38-05cb-4a53-919b-19c7da6b826b

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