4: Peds Vulvovaginitis Flashcards

1
Q

How does vulvovaginitis present in children?

A
  • Dysuria
  • Vulvovaginal pain and/or pruritis
  • Local erythema
  • Discharge
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2
Q

What should be included in a hx for vulvovaginitis?

A
  • Symptom analysis including dysuria, hematuria, abd pain, flank pain, fever, n/v.
  • Ask specifics about any nocturnal enuresis. New or chronic?
  • Ask specifics about discharge (how much, what color, odor).
  • Ask about history of atopy/eczema.
  • Ask if any concern over inappropriate physical contact.
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3
Q

Should you perform an internal GU exam when suspicious for vulvovaginitis?

A

No.

  • Perform oropharyngeal exam (strep or sexual abuse)
  • Full abd exam (including CVA tenderness)
  • External GU
  • Q-tip for vaginal secretions for wet mount
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4
Q

What diagnostic testing should be performed?

A
  • UA, culture
  • Possibly tape testing (pinworms)
  • Wet mount/KOH
  • If need to do STI screening be careful as it might have legal ramifications
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5
Q

Treatment for nonspecific vulvovaginitis?

A
  • Avoid all irritants (including soap) for approximately 2 days
  • Wash well with warm water
  • May use a low potency steroid and antifungal combo but not longer than 1 week
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