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Pediatric Adolescent Gynecology

Across
Considerable effort to establish _______ with a child should be attempted.
The most common cause of abnormal uterine bleeding in adolescents.
________ of the urethral mucosa is not rare in children. Will see prepubertal bleeding and can treat with topical estrogen.
Approximately 75% to 85% of ovarian neoplasms necessitating surgery are benign, with cystic _________ being the most common.
The _____ is a slang term for speculums in teens.
The cause of _______________ is unclear but may be autoimmune. Most common symptoms are pruritus and vulvar discomfort. Appears hourglass or figure-of-eight formation. Biopsy is very difficult to obtain. Treated with high potency steroid, such as Clobetasol.
Ovarian _______ should be managed conservatively with untwisting and preservation of the adnexa, regardless of appearance. Presence or absence of doppler flow on the ovary on the US is not diagnostic, and the decision for surgical intervention should be based on the level of clinical suspicion.
The relative size ratio of cervix to uterus is ___ to one in a child.
Even though ovarian neoplasms are rare in children, this diagnosis must be considered in a young girl with abdominal pain and a ________ mass.
The major factor in childhood vulvovaginitis is poor perineal _______.
Bonus…Neblett’s way of managing labor.
The surgical therapy of an ovarian neoplasm in a child should have two goals: the appropriate surgical removal of the neoplasm and the ____________ of future fertility.
Down
The classic symptoms of ________ is a nocturnal vulvar and perianal itching, the treatment for which is mebendazole.
A vaginal discharge that is both bloody and foul smelling strongly suggests presence of a _______ body. The most common of which is a wad of toilet tissue.
The usual cause of genital trauma during childhood is an __________ fall which are mostly straddle injuries.
The period following the onset of puberty during which a young person develops from a child into an adult.
Labial _________ do not require treatment unless they are symptomatic, or voiding is compromised. If necessary, small amounts of daily topical estrogen may be used for treatment.
Most common GYN condition in children?
Positive identification of gonorrhea or chlamydia in a child with premenarcheal vulvovaginitis, is considered diagnostic of sexual _____.
The most common malignancy in preadolescent females is a ________ tumor.
Despite common belief, _____ vaginal infections are NOT common in prepubertal children as the pH does not support growth.
The prepubertal vagina is 4 to 6cm long and has _______ pH.
The prepubertal vagina is narrower, _______, and lacks the ability to distend like that of the vagina of a reproductively mature woman.