Heavy Menstrual Bleeding in Adolescent Girls.

Abstract:

:Heavy menstrual bleeding (HMB) is a common complaint among adolescent girls. It reflects an abnormal volume of blood loss during the menstrual cycle. Abnormal uterine bleeding can manifest as HMB but includes menstrual irregularity. In many cases, immaturity of the hypothalamic-pituitary-ovarian axis or hormonal conditions like polycystic ovarian syndrome leading to anovulatory cycles are the underlying cause for heavy menses. However, in girls with HMB, especially those not responding to the usual hormonal attempts to manage HMB, an underlying bleeding disorder should be considered. Up to 62% of adolescents with HMB have a bleeding disorder, many without anemia at presentation. Evaluation for HMB in an adolescent girl should include referrals to an adolescent medicine specialist or gynecologist and pediatric hematologist. [Pediatr Ann. 2020;49(4):e163-e169.].

journal_name

Pediatr Ann

journal_title

Pediatric annals

authors

Davila J,Alderman EM

doi

10.3928/19382359-20200321-01

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

e163-e169

issue

4

eissn

0090-4481

issn

1938-2359

journal_volume

49

pub_type

杂志文章,评审
  • Molecular diagnostics and newborns at risk for genital herpes simplex virus.

    abstract::Herpes simplex virus (HSV) infection in the newborn carries a high mortality rate and can result in lifelong neurologic impairment. The severity of HSV infection in the newborn has always dictated conservative management when prodromal symptoms or active genital lesions (or those suggestive of genital herpes) are pres...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20150512-08

    authors: Chua C,Arnolds M,Niklas V

    更新日期:2015-05-01 00:00:00

  • Safe Sleep, Plagiocephaly, and Brachycephaly: Assessment, Risks, Treatment, and When to Refer.

    abstract::The Safe to Sleep campaign started in 1994, reducing the risk of sudden infant death syndrome (SIDS) by 40% to 60%. However, an undesirable consequence has been a 400% to 600% increase in positional head deformities. We review the risks for positional plagiocephaly or brachycephaly, treatment modalities, and when to r...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20200922-02

    authors: Marshall JM,Shahzad F

    更新日期:2020-10-01 00:00:00

  • Pediatric Monogenic Diabetes: A Unique Challenge and Opportunity.

    abstract::Monogenic diabetes affects approximately 120,000 people in the United States but continues to be misdiagnosed. Within the pediatric population, 1% to 3% of diabetes is monogenic, and early diagnosis and genetically targeted management of congenital diabetes and maturity onset diabetes of the young (MODY) can have a tr...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20190730-02

    authors: Harris A,Naylor RN

    更新日期:2019-08-01 00:00:00

  • Evaluation and Management of Adolescents with Abnormal Uterine Bleeding.

    abstract::The International Federation of Gynecology and Obstetrics and the American Congress of Obstetricians and Gynecologists support the use of new terminology for abnormal uterine bleeding (AUB) to consistently categorize AUB by etiology. The term AUB can be further classified as AUB/heavy menstrual bleeding (HMB) (replaci...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20150910-09

    authors: Mullins TL,Miller RJ,Mullins ES

    更新日期:2015-09-01 00:00:00

  • Sleep Problems in Children with Autism Spectrum Disorder.

    abstract::Sleep disorders are one of the most frequent comorbidities in children with autism spectrum disorder (ASD). Heterogeneous sleep problems in children with ASD have been reported, and insomnia has a prevalence in children with ASD ranging from 60% to 86%. Poor sleep can cause harmful effects on cognitive functions, fost...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20200511-01

    authors: Posar A,Visconti P

    更新日期:2020-06-01 00:00:00

  • mHealth tools for the pediatric patient-centered medical home.

    abstract::The concept of the pediatric patient-centered medical home (PCMH) as a theory has been evolving since it was initially conceived more than 40 years ago. When the American Academy of Pediatrics' (AAP) Council on Pediatric Practice first wrote about this model, "medical home" was defined solely as the central location o...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20140127-09

    authors: Slaper MR,Conkol K

    更新日期:2014-02-01 00:00:00

  • International child health.

    abstract::It is our hope that this issue of Pediatric Annals will stimulate among readers a desire to learn more about the difficult challenges faced by our colleagues who live and work in developing countries. They do so much with so little, and their dedication to their work is an inspiration to us all. Armed with such inform...

    journal_title:Pediatric annals

    pub_type: 社论

    doi:10.3928/0090-4481-20041001-04

    authors: Staton DM,Harding MH

    更新日期:2004-10-01 00:00:00

  • Inguinal and scrotal problems in infants and children.

    abstract::Early and accurate diagnosis will not only prevent the catastrophe of gangrenous bowel in infants and children with inguinal and femoral hernia, but in the case of hydrocele will also avoid unnecessary parental anxiety. An accurate diagnosis and knowledge of the natural history of inguinal conditions can avoid unneces...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/0090-4481-19890301-08

    authors: Campbell JR

    更新日期:1989-03-01 00:00:00

  • The General Pediatrician's Guide to Isolated Thrombocytopenia.

    abstract::Platelets are an essential component of the hemostatic pathway; therefore, it is important to identify and diagnose patients with low platelet counts. This can be challenging, however, because thrombocytopenia can be relatively common and the differential diagnosis can be broad. Furthermore, because platelets can be a...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20191212-02

    authors: Kumar P

    更新日期:2020-01-01 00:00:00

  • Pulling the Wool Off Our Eyes: Medical Child Abuse.

    abstract::Medical child abuse (MCA) continues to remain a challenging form of abuse to recognize, diagnose, and manage. The perpetrators of MCA have some common features that may heighten the suspicion that a child is the victim of MCA. Once suspected, the development of a multidisciplinary care plan that incorporates all subsp...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20200721-02

    authors: Hoffman A

    更新日期:2020-08-01 00:00:00

  • Acute nonlymphoid leukemia.

    abstract::Acute nonlymphoid leukemia (ANLL) is not an uncommon form of leukemia in children. The differential diagnosis is sometimes difficult, but there are a number of laboratory tests that can contribute useful information. Despite the introduction of several newer chemotherapeutic agents, only 50 to 60 percent of children w...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:

    authors: Necheles TF

    更新日期:1978-07-01 00:00:00

  • The pediatric acute scrotum.

    abstract::The pediatric acute scrotum can be a diagnostic dilemma. The history, physical examination, and appropriate tests are important. The correct diagnosis will be arrived at if the systematic approach is remembered (Figure 14). In cases where testicular torsion cannot be ruled out (such as an epididymitis or torsion of th...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/0090-4481-19890301-10

    authors: Hermann D

    更新日期:1989-03-01 00:00:00

  • Mastoiditis mimicry: retro-auricular cellulitis related to otitis externa.

    abstract::Retro-auricular cellulitis associated with otitis externa is now the great mimicker of mastoiditis. It may be the most common cause of this specific cellulitis/auricular protrusion when it is associated with otitis externa. This column presents six cases of children who presented with peri-auricular redness, four of w...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20140825-03

    authors: Block SL

    更新日期:2014-09-01 00:00:00

  • Averting the perfect storm: addressing youth substance use risk from social media use.

    abstract::Adolescents are developmentally sensitive to pathways that influence alcohol and other drug (AOD) use. In the absence of guidance, their routine engagement with social media may add a further layer of risk. There are several potential mechanisms for social media use to influence AOD risk, including exposure to peer po...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20140924-08

    authors: Salimian PK,Chunara R,Weitzman ER

    更新日期:2014-10-01 00:00:00

  • Exercise-Induced Dyspnea in Children and Adolescents: Differential Diagnosis.

    abstract::Exercise-induced dyspnea in children and adolescents can occur for many reasons. Although asthma is the common cause, failure to prevent exercise-induced asthma by pretreatment with a bronchodilator, such as albuterol, indicates that other etiologies should be considered. Other causes of exercise-induced dyspnea inclu...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20190219-02

    authors: Bhatia R,Abu-Hasan M,Weinberger M

    更新日期:2019-03-01 00:00:00

  • Prolonged Hospital Discharge for Children with Technology Dependency: A Source of Health Care Disparities.

    abstract::Children with ventilator assistance have been supported in living at home since 1981 when parental advocacy ushered in a change to Medicaid policy. As the population of children who use medical technology such as long-term ventilation increases, we must critically evaluate our systems for preparing families for home l...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20170919-01

    authors: Sobotka SA,Agrawal RK,Msall ME

    更新日期:2017-10-01 00:00:00

  • Taking a pediatric sleep history.

    abstract::Sleep problems in children are common, can be persistent and recurrent, can lead to significant health issues, and usually affect other family members as well as the child. There is an AAP guideline to at least screen for snoring. Sleep-deprived children often present with different symptoms than sleep-deprived adults...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20080701-02

    authors: Chamness JA

    更新日期:2008-07-01 00:00:00

  • Adolescent Sleepiness: Causes and Consequences.

    abstract::Insufficient sleep duration and poor sleep quality are common among adolescents. The multidimensional causes of insufficient sleep duration and poor sleep quality include biological, health-related, environmental, and lifestyle factors. The most common direct consequence of insufficient and/or poor sleep quality is ex...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20170816-01

    authors: Hansen SL,Capener D,Daly C

    更新日期:2017-09-01 00:00:00

  • Augmentative communication: a perspective for pediatricians.

    abstract::This article has described the rationale and methods available for treatment of severely communicatively impaired children. The primary goal of such intervention is to facilitate communication, rather than speech per se, as the most realistic goal for some youngsters. To the extent that augmentative techniques affect ...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19850301-08

    authors: Cohen C

    更新日期:1985-03-01 00:00:00

  • Pediatric chronic rhinosinusitis.

    abstract::Pediatric chronic rhinosinusitis is a multifactorial inflammatory and infectious disorder. It likely reflects a dysfunction at the site of the interaction between host and environmental factors in the nose and sinuses. Our limited understanding of this common childhood disease makes it difficult to diagnose and to tre...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20140723-10

    authors: Silviu-Dan F

    更新日期:2014-08-01 00:00:00

  • Congenital Hyperinsulinism.

    abstract::Congenital hyperinsulinism is a rare disorder that commonly presents in the immediate postnatal period as persistent hypoglycemia. The condition is frequently resistant to medical therapies, and the genetic mutations implicated in the disorder can be predictive of response to therapy. Evaluation of hypoglycemia in the...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20171020-01

    authors: Minakova E,Chu A

    更新日期:2017-11-01 00:00:00

  • The acutely injured knee.

    abstract::Determining the mechanism of injury is often helpful in making the diagnosis during the evaluation of the acutely injured knee. A few injuries require immediate orthopedic referral such as fractures, evidence of more than one sprained ligament, or neurovascular compromise. Most patients with acute knee injuries can be...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19970101-10

    authors: Koutures CG,Landry GL

    更新日期:1997-01-01 00:00:00

  • Assessing Nutritional Risk Among Infants and Toddlers in Primary Care Practice.

    abstract::Traditionally, nutritional risk has been defined by growth failure, with clinical intervention indicated when a child falls below the third to fifth percentile on growth charts. Although the velocity of linear growth and weight gain during the first years are unparalleled at any other time of life, this period is also...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20181016-01

    authors: Murray RD

    更新日期:2018-11-01 00:00:00

  • Gastroesophageal reflux in children: a clinical review.

    abstract::The diagnosis of gastroesophageal reflux requires careful consideration of the patient's clinical history and initial evaluation of presenting symptoms. In cases where overt vomiting in noted, the initial evaluation should include a barium esophagram and upper gastrointestinal series. The diagnosis of gastroesophageal...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19820101-09

    authors: Berquist WE

    更新日期:1982-01-01 00:00:00

  • Primary Care Office Preparedness for Pediatric Emergencies.

    abstract::Emergencies do occur in pediatric primary care offices. The American Academy of Pediatrics Committee on Pediatric Emergency Medicine recommends that primary care offices perform a self-assessment of office readiness for emergencies. Primary care offices should develop an emergency response plan to recognize, stabilize...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20180221-01

    authors: Kalidindi S,Lacy TA

    更新日期:2018-03-01 00:00:00

  • Physician handling of prescription stimulants.

    abstract::Good medical practices can significantly reduce the possibility of diversion and misuse of the stimulants commonly prescribed to treat ADHD. While the problems of misuse and abuse are real, they should not become a barrier to appropriate use of these medicines, which are safe and effective for the large majority of pa...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/0090-4481-20060801-08

    authors: Croft HA

    更新日期:2006-08-01 00:00:00

  • The multiple indications for growth hormone treatment of pediatric patients.

    abstract::GH has many approved uses in pediatric patients including GH deficiency, CRF, Turner syndrome, Prader-Willi syndrome, SGA, and ISS. The child should have an appropriate evaluation for poor growth and endocrine consultation as dictated by clinical and investigative findings. Treatment of the child with GH deficiency is...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-20061201-06

    authors: Farber RS,Kerrigan JR

    更新日期:2006-12-01 00:00:00

  • Badly Behaving Noses in Children: Rhinitis, Sinusitis, or Neither?

    abstract::Every pediatrician has likely experienced frustration with cases of chronic nasal symptoms that either do not seem to get better or do show improvement but then worsen again. Often, this leads to the diagnosis of allergic rhinitis or sinusitis and subsequent prescription of medication(s) that may or may not be warrant...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20161011-01

    authors: Smallwood J,Wei JL

    更新日期:2016-11-01 00:00:00

  • Risk of enteric infection associated with child day care.

    abstract::Pediatricians may advise parents that diarrhea is a frequent occurrence among infants and toddlers in day care and that diarrhea is usually mild and self-limited. A child newly enrolled in a day-care facility is at a particularly high risk for developing a diarrheal illness within the first month after enrollment, but...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19910801-08

    authors: Morrow AL,Townsend IT,Pickering LK

    更新日期:1991-08-01 00:00:00

  • Sedation in the emergency department.

    abstract::Pediatric ED patients now have a wide variety of options to help relieve the pain and apprehension associated with an ED visit. Safe and effective management of these children has become a priority in properly staffed and equipped EDs throughout the country. ...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-20050801-10

    authors: Sacchetti A,Cravero J

    更新日期:2005-08-01 00:00:00