Bladder Catheterization
Bladder Catheterization Suzanne Beno Sandra Schwab Introduction Bladder catheterization is performed to obtain urine in a sterile manner for culture and urinalysis (1). The procedure allows for relatively easy and…
PEDIATRICS
Forensic Examination of the Sexual Assault Victim
Forensic Examination of the Sexual Assault Victim Robert A. Shapiro Charles J. Schubert Introduction Physicians are often called on to evaluate children who may have been victims of sexual abuse….
Adolescent Pelvic Examination
Adolescent Pelvic Examination Angelo P. Giardino Cindy W. Christian Introduction The adolescent pelvic examination allows thorough examination of the female external and internal genital structures and anus. A pelvic examination…
Vaginal Foreign Body Removal
Vaginal Foreign Body Removal Angelo P. Giardino Cindy W. Christian Introduction Vaginal foreign bodies in the prepubertal child frequently lead to vaginitis, vulvovaginitis, nonspecific genitourinary symptoms, and friability of the…
Prepubertal Genital Examination
Prepubertal Genital Examination Cindy W. Christian Joanne M. Decker1 1Dr. Joanne M. Decker passed away in 2007 after a long battle with cancer. Introduction Examination of the prepubertal genitalia should…
Reducing a Rectal Prolapse
Reducing a Rectal Prolapse Gary Schwartz Introduction Rectal prolapse, a relatively uncommon clinical entity, is the prolapse of the rectal mucosa through the anus. In some instances, the rectal mucosa…
Oral Rehydration
Oral Rehydration Philip R. Spandorfer Bryan D. Upham Introduction Children with acute gastroenteritis and dehydration are commonly treated in the emergency department (ED). Almost all children will have had rotavirus…
Treatment of Umbilical Granuloma
Treatment of Umbilical Granuloma Angela C. Anderson Seema Sachdeva Introduction An umbilical granuloma results from excessive growth of normal granulation tissue on the umbilical stump. Prevention of umbilical granuloma formation…
Inguinal Hernia Reduction
Inguinal Hernia Reduction Sharon R. Smith Introduction Two common causes of scrotal swelling in children are inguinal hernia and hydrocele. Inguinal hernias, which are classified as direct or indirect, occur…
Paracentesis
Paracentesis Natalie E. Lane Ronald I. Paul Introduction Paracentesis, or peritoneal tap, involves inserting a needle through the abdominal wall into the peritoneal cavity and aspirating fluid. The peritoneum is…
