Sex Education: It's More Than Learning About How Babies Are

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Language: English

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Behcet's disease (causes genital and oral ulcers, may be mistaken for herpes simplex lesions) Streptococcal cellulitis of perianal tissues (causes red, inflamed tissues) Vaginal foreign bodies (may cause bleeding, discharge) Erythema (redness) of the vestibule or perianal tissues (may be due to irritants, infection or trauma) Friability of the posterior fourchette or commissure (may be due to irritation, infection, or may be caused by examiner's traction on the labia majora) "Thickened hymen" (may be due to estrogen effect, folded edge of hymen, swelling from infection, or swelling from trauma) Apparent genital warts (may be skin tags or warts not of the genital type, may be condyloma accuminata which was acquired from perinatal transmission or other non-sexual transmission) Venous congestion, or venous pooling (usually due to positioning of child, also seen in constipation) Vaginal bleeding (may be from other sources, such as urethra, or may be due to vaginal infections, vaginal foreign body, or accidental trauma) Marked, immediate dilation of the anus, with no stool visible or palpable in the rectal vault, when the child is examined in the knee-chest position, provided there is no history of encopresis, chronic constipation, neurological deficits, or sedation Hymenal notch/cleft in the posterior (inferior) portion of the hymenal rim, extending nearly to the vaginal floor. (often an artifact of examination technique, but if persisting in all examination positions, may be due to previous blunt force or penetrating trauma) Acute abrasions, lacerations or bruising of labia, peri-hymenal tissues, or perineum (may be from accidental trauma, or may be due to dermatological conditions such as lichen sclerosus or hemangiomas) Scar or fresh laceration of the posterior fourchette, not involving the hymen (may be caused by accidental injury) Perianal scar (rare, may be due to other medical conditions such as Crohn's disease, or from pervious medical procedures) Hymenal transection (healed).

Pages: 58

Publisher: GoTo Educational Technology Inc.; 2 edition (December 20, 2013)


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