discuss the following:
A 6-year-old has a yellow vaginal discharge. The examination is otherwise normal.
• What are key points in the history and physical examination?
• How would you approach differ if the patient were a sexually active 16-year-old?
• What are similarities and differences in the approach?
Let’s discuss the evaluation of yellow vaginal discharge in a 6-year-old and a sexually active 16-year-old, highlighting the key differences and similarities in our approach.
Case 1: 6-Year-Old with Yellow Vaginal Discharge
In a pre-pubertal child, vaginal discharge is less common than in adolescents or adults, and the differential diagnosis is different. Our primary concern is to identify non-sexually transmitted causes and consider the possibility of sexual abuse.
• Key Points in the History and Physical Examination:
History:
Physical Examination:
• How would your approach differ if the patient were a sexually active 16-year-old?
The approach to a sexually active 16-year-old with yellow vaginal discharge would be significantly different, with a primary focus on sexually transmitted infections (STIs).
History:
Physical Examination:
• What are similarities and differences in the approach?
Similarities: