Paraphimosis Reduction
Paraphimosis Reduction Patricia Chambers Introduction Paraphimosis describes the condition when the foreskin of an uncircumcised male is retracted behind the glans penis, with resultant edema. As swelling of the glans…
Management of Priapism
Management of Priapism James F. Parker Introduction Priapism is defined as a sustained, unwanted, painful erection that continues hours beyond or is unrelated to sexual stimulation. It is characterized by…
Manual Detorsion of the Testes
Manual Detorsion of the Testes Kathleen M. Cronan Stephen A. Zderic Introduction Testicular torsion occurs when a testis rotates on the vascular pedicle, producing sharp pain secondary to ischemia. A…
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…
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…
