Abstract：
BACKGROUND:Medical child abuse is a challenging diagnosis to make, particularly in older children with unusual presenting symptoms. CASE:A 7-year-old child with complex medical history presented with anogenital bleeding of unknown origin. Extensive laboratory testing, imaging studies, and diagnostic procedures were negative for any etiology. Forensic testing confirmed the blood in her underwear was a genetic match to the patient. Trial separation from the mother was diagnostic and therapeutic in this case. SUMMARY AND CONCLUSION:Older children who are victims of medical child abuse might present in a variety of ways, and might even collaborate with the perpetrator in falsifying symptoms. It is important to keep medical child abuse on the differential when the patient's symptoms and work-up do not match.
journal_name
J Pediatr Adolesc Gynecoljournal_title
Journal of pediatric and adolescent gynecologyauthors
Moon LM,Childress KJ,Isaac R,Adeyemi-Fowode Odoi
10.1016/j.jpag.2018.06.011subject
Has Abstractpub_date
2018-12-01 00:00:00pages
637-639issue
6eissn
1083-3188issn
1873-4332pii
S1083-3188(18)30252-3journal_volume
31pub_type
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journal_title：Journal of pediatric and adolescent gynecology
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journal_title：Journal of pediatric and adolescent gynecology
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abstract：STUDY OBJECTIVE:To evaluate the incidence of hemostatic disorders in a population of adolescents with various patterns of abnormal uterine bleeding (AUB). DESIGN:Retrospective observational study. SETTING:University hospital. PARTICIPANTS:One hundred thirteen adolescents with AUB; mean age at menarche and mean age a...
journal_title：Journal of pediatric and adolescent gynecology
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abstract：STUDY OBJECTIVE:Sensitive trichomonas diagnostic testing has become available, including nucleic acid amplification tests (NAATs) and a rapid antigen test. The study purpose was to determine if adding sensitive trichomonas testing to routine female sexually transmitted infection (STI) evaluations would increase trichom...
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更新日期：2013-04-01 00:00:00
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journal_title：Journal of pediatric and adolescent gynecology
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