Linea Vestibularis: Follow-up of a Normal Genital Structure

PEDIATRICS ◽  
1993 ◽  
Vol 92 (3) ◽  
pp. 453-456
Author(s):  
NANCY D. KELLOGG ◽  
JUAN M. PARRA
Keyword(s):  
Initial Phase ◽  
Sexually Abused ◽  
Linear Structure ◽  
Healthy Female ◽  
Genital Structure ◽  
Anatomic Variants ◽  
Physical Changes ◽  
Physical Findings ◽  
Proper Interpretation

Keen observation and precise documentation have become increasingly important in the physical evaluation of a child who may have been sexually abused. The task of proper interpretation of these [See table in the PDF file] physical findings depends on the recognition of normal anatomy. Much work has been done to differentiate normal anatomic variants from physical changes resulting from injury.1-7 In a recent study, healthy female newborns were examined to establish the presence of a white midline streak in the posterior vestibule.8 In the initial phase of this study, 123 newborns were examined. A white linear structure in the mid-posterior vestibule, termed linea vestibularis (LV), was found in 10% (n = 13) of the group and a white spot in the mid-posterior vestibule, termed partial linea vestibularis (PLV), was found in 14% (n = 17) of the group.

MIS-A associated myocardial injury: The art of diagnosis and follow-up

2021 ◽  
Vol 2 (6) ◽  
Author(s):  
Bellony Nzemenoh ◽  
◽  
Arianne C Agdamag ◽  
Valmiki Maharaj ◽  
Victoria Charpentier ◽  
...  
Keyword(s):  
Chest Pain ◽  
Early Identification ◽  
Myocardial Injury ◽  
Clinical Course ◽  
Full Recovery ◽  
Myocardial Inflammation ◽  
Severe Condition ◽  
Healthy Female ◽  
Inflammatory Syndrome

Multisystem inflammatory syndrome in adults (MIS-A) is a rare but severe condition in adults with a clinical course similar to that described in children (MIS-C) following infection with the SARS-CoV-2 virus. Here we describe a case of a 21-year-old, otherwise healthy female who presented with chest pain and signs of sepsis six weeks after recovering from coronavirus disease 2019 (COVID-19). Early identification of MIS-A led to a favorable clinical course and full recovery. Given the highly variable disease presentation yet potentially deadly outcome, providers must remain vigilant to recognize and treat MIS-A early Keywords: MIS-A; myocardial inflammation; SARS-CoV-2; COVID-19 disease.

Disappearance of a 47,XX,C+ Leucocyte Cell Line in an Infant Who Had Previously Exhibited 46,XX/47,XX,C+ Mosaicism

PEDIATRICS ◽  
1969 ◽  
Vol 43 (4) ◽  
pp. 623-626
Author(s):  
Richard L. Neu ◽  
Gerald J. Bargman ◽  
Lytt I. Gardner
Keyword(s):  
Bone Marrow ◽  
Cell Line ◽  
Cell Lines ◽  
Chromosomal Abnormality ◽  
Thoracic Vertebrae ◽  
Fetal Life ◽  
Clinical Appearance ◽  
Abnormal Cell ◽  
Physical Findings

Follow-up observations are reported on an infant with numerous phenotypic abnormalities who had been reported at 7 months of age to have an extra C group autosome in 17% of her peripheral leucocytes. Examination of the patient at age 2½ years revealed that the physical findings were essentially unchanged, except for increased prominence of the sixth, seventh, and eighth thoracic vertebrae. The abnormal cell line was found to have disappeared from her leucocytes in cultures repeated at ages 2½ and 2[unknown] years. Analysis of bone marrow metaphases showed that 7% were of the 47,XX,C+ karyotype. Other reported examples of disappearing abnormal cell lines are reviewed. These findings may help explain those cases having the clinical appearance of a syndrome associated with chromosomal abnormality, but whose karyotypes are normal. It is possible that a mosaicism existed during fetal life, and that the cytogenetically abnormal cell line caused abnormal organogenesis prior to its later disappearance.

Relaxation and Examination for Sexual Abuse

PEDIATRICS ◽  
1988 ◽  
Vol 81 (5) ◽  
pp. 745-745
Author(s):  
KAREN KIRHOFER HANSEN ◽  
WILLIAM M. PALMER
Keyword(s):  
Sexual Abuse ◽  
Sexually Abused ◽  
Vaginal Opening ◽  
Physical Findings ◽  
Sexually Abused Girls

To the Editor.— We were pleased with the article by Herman-Giddens and Frothingham concerning physical findings in sexually abused girls (Pediatrics 1987;80:203-208). Their experiences were similar to ours after evaluation of more than 2,263 cases of alleged sexual abuse since 1980. No mention was made, however, of the effect of the degree of a patient's relaxation during the examination on the appearance of the vaginal opening. We have seen numerous children in whom the truly enlarged size of an apparently small vaginal opening became obvious when the patient relaxed.

Adult Victimization over Time

2018 ◽  
pp. 171-174
Author(s):  
Mary C. Zanarini
Keyword(s):  
Risk Factors ◽  
Sexually Abused ◽  
Female Gender ◽  
Physical Assault ◽  
Clinical Implications ◽  
Axis Ii ◽  
Borderline Patients ◽  
History Of ◽  
Over Time

At baseline, borderline patients reported higher rates of adult rape and physical assault by a partner than Axis II comparison subjects. Four risk factors were found to significantly predict whether borderline patients had an adult history of being a victim of physical and/or sexual violence before their index admission: female gender, a substance use disorder that began before the age of 18, childhood sexual abuse, and emotional withdrawal by a caretaker (a form of neglect). At six-year and 10-year follow-up, borderline patients reported higher rates of being verbally, emotionally, physically, and sexually abused or assaulted than did Axis II comparison subjects. However, each of these forms of abuse declined significantly over time. The clinical implications of these prevalence and predictive findings are discussed.

Treatment of a Commercially Sexually Abused Girl Using Trauma-Focused Cognitive Behavioral Therapy and Legal Interventions

2018 ◽  
Vol 18 (1) ◽  
pp. 18-35
Author(s):  
Maureen C. Kenny ◽  
Claire E. Helpingstine ◽  
Maya Weber
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sexually Abused ◽  
Behavioral Therapy ◽  
Sexual Exploitation ◽  
Cognitive Behavioral ◽  
Rapport Building ◽  
Body Image Issues ◽  
Legal Interventions

This case study describes the use of trauma-focused cognitive behavioral therapy (TF-CBT) and legal interventions for a 16-year-old girl who was the victim of commercial sexual exploitation (CSE) and suffered from substance abuse, anxiety, and body image issues. Over the course of 1 year, the client was able to discontinue involvement in sexual exploitation, cease substance use, decrease her anxiety level, improve her self-concept, and reduce posttrauma symptoms. The case calls attention to the need for extended rapport building, flexibility in treatment, and tailoring manualized treatments. It highlights the path to CSE for one teenager as well as the resultant emotional and behavioral consequences. Given the extensive nature of her past traumas, case management was continued following the clients’ discharge from treatment to support her adjustment. These follow-up sessions were conducted about once a month and assisted with maintenance of treatment goals.

scholarly journals Unexpected Small Urinary Bladder Pheochromocytoma: A Nonspecific Presentation

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Faouzi Mallat ◽  
Wissem Hmida ◽  
Adel Slama ◽  
Faouzi Mosbah
Keyword(s):  
Urinary Bladder ◽  
Transurethral Resection ◽  
Histopathological Examination ◽  
Hypertensive Crisis ◽  
Published Data ◽  
Radiologic Findings ◽  
Radiological Images ◽  
Laboratory Investigations ◽  
Physical Findings

Objectives. Pheochromocytoma of the urinary bladder is an extremely rare tumor that typically presents with a hypertensive crisis during micturition. Preoperatively, it may be misdiagnosed due to nonspecific symptomatology, physical, and radiologic findings.Method. We report a case of unsuspected small pheochromocytoma which was incidentally found by CT scan and confirmed by the histological aspects after transurethral resection in a 63-year-old woman. Here, we have described the clinical presentation, physical findings, laboratory investigations, and treatment provided in our case. We have also included radiological images and histopathology slides with input from both radiologists and pathologists. Surgical management and postoperative follow-up are discussed, as are details of previous published data.Results. After undergoing surgical treatment (transurethral resection), our patient is asymptomatic, with complete resolution of her pathology.Conclusion. Diagnosis is difficult before histopathological examination and should be considered in patients with no risk factors for usual bladder tumor. Our purpose is to raise clinician's awareness for this condition so that they will be more likely to diagnose it. This will facilitate prompt diagnosis and treatment and especially prevent complications due to pheochromocytoma which may be severe.

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