RESUMO
Young female patients with gynecologic complaints, including vaginal discharge, commonly seek care in the emergency department. Prepubertal vaginal discharges have various potential etiologies including nonspecific vulvovaginitis, infections, inflammatory or dermatologic processes, precocious puberty, malignancy, anatomical anomaly, trauma, sexual abuse, and foreign body. We present the case of a 4-year-old girl with vaginal odor and discharge secondary to a foreign body. The foreign body was part of a toy, the lower half of the patient's missing "Bratz" (MGA Entertainment) doll. Although it is well known that a vaginal foreign body can cause a vaginal discharge, the unusual nature of the foreign body in this case and the revealing radiograph made this a case of particular interest.
Assuntos
Corpos Estranhos/diagnóstico por imagem , Vagina/diagnóstico por imagem , Descarga Vaginal/etiologia , Pré-Escolar , Feminino , Corpos Estranhos/complicações , Humanos , Jogos e Brinquedos , RadiografiaAssuntos
Datura , Encefalocele/diagnóstico , Alucinógenos/efeitos adversos , Neoplasias da Próstata/diagnóstico , Rabdomiólise/diagnóstico , Rabdomiossarcoma/diagnóstico , Adolescente , Pré-Escolar , Alucinógenos/administração & dosagem , Humanos , Lactente , Imageamento por Ressonância Magnética , Masculino , Staphylococcus aureus Resistente à Meticilina/isolamento & purificação , Neoplasias da Próstata/terapia , Rabdomiólise/terapia , Rabdomiossarcoma/terapia , Sementes , Retenção Urinária/etiologiaRESUMO
Childhood obesity is one of the formidable challenges that healthcare providers face. Early recognition and implementation of preventive strategies is crucial in combating this problem. Inculcation of a healthy lifestyle in our youth by encouraging physical activity, decreasing sedentary pastimes, and making healthy food choices is critical right from the start, before poor habits become ingrained. More research is needed to find more effective ways to treat obesity in childhood and adolescence.
Assuntos
Obesidade/terapia , Adolescente , Depressores do Apetite/uso terapêutico , Cirurgia Bariátrica , Índice de Massa Corporal , Dieta , Exercício Físico , Humanos , Obesidade/complicações , Obesidade/epidemiologia , Obesidade/fisiopatologia , Estados Unidos/epidemiologiaRESUMO
The US teen birth rate remains the highest of industrialized nations. Therefore, sexual safety, including provision of contraception and prevention of sexually transmitted infections (STIs), should be a component of adolescent skill development. Adolescents need comprehensive sex education and access to reproductive health services, including contraception. The consistent use of both condoms and hormonal contraception are recommended for STI and pregnancy prevention. A range of hormonal contraception is available, varying in drug, dose, and delivery mechanisms. Long-acting reversible contraception use is encouraged to decrease the teen pregnancy rate.