Presentation is loading. Please wait.

Presentation is loading. Please wait.

This 10-year-old girl underwent excision of her clitoris and labia minora (as ritual female circumcision) during her early childhood in Africa. Scarred.

Published byPatricia Wilson Modified over 6 years ago

Similar presentations

Presentation on theme: "This 10-year-old girl underwent excision of her clitoris and labia minora (as ritual female circumcision) during her early childhood in Africa. Scarred."— Presentation transcript:

1 This 10-year-old girl underwent excision of her clitoris and labia minora (as ritual female circumcision) during her early childhood in Africa. Scarred tissue and a narrowed introitus following surgery may mimic labial adhesion or trauma due to sexual abuse. The practice of female circumcision is seen in Africa, Middle East, and Muslim populations of Indonesia and Malaysia. The type of mutilation ranges from simple excision of the prepuce of the clitoris to complete excision of all elements of the vulvar region, leaving a very small opening for the passage of urine and menstrual fluid. Female circumcision is illegal in Western countries and is classified as child abuse in some European countries. (Photo contributor: Swati Mehta, MD.) Source: Chapter 2. Conditions Mistaken for Child Abuse and Sexual Abuse, Atlas of Pediatric Emergency Medicine, 2e Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: Accessed: November 08, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved

Download ppt "This 10-year-old girl underwent excision of her clitoris and labia minora (as ritual female circumcision) during her early childhood in Africa. Scarred."

Similar presentations

FEMALE GENITAL MUTILATION. What is FGM Comprises all procedures that involve partial or total removal of female external and/or injury to the female genital.

FEMALE GENITAL MUTILATION. What is FGM Comprises all procedures that involve partial or total removal of female external and/or injury to the female genital.
Erythematous maculopapular and urticarial edematous plaques are seen on the thighs (A). (B) in a patient 2 weeks after receiving Bactrim. Fever, arthralgia,

Erythematous maculopapular and urticarial edematous plaques are seen on the thighs (A). (B) in a patient 2 weeks after receiving Bactrim. Fever, arthralgia,
(A) Coronal noncontrast sinus CT section (same patient; Figure 9

(A) Coronal noncontrast sinus CT section (same patient; Figure 9
(A, B) An 8-year-old girl with abdominal pain and cystic mass arising from the right ovary on sonography. Notice fat plug (white arrow). (C) MRI showing.

(A, B) An 8-year-old girl with abdominal pain and cystic mass arising from the right ovary on sonography. Notice fat plug (white arrow). (C) MRI showing.
A dorsal view of the brain shows severe brain swelling with flattened gyri and effaced sulci. Evidence of brain swelling with herniation was seen on the.

A dorsal view of the brain shows severe brain swelling with flattened gyri and effaced sulci. Evidence of brain swelling with herniation was seen on the.
A child presenting with high fever, refusal to eat, and sores in the mouth. (Photo contributor: Binita R. Shah, MD.) Source: Chapter 3. Infectious Diseases,

A child presenting with high fever, refusal to eat, and sores in the mouth. (Photo contributor: Binita R. Shah, MD.) Source: Chapter 3. Infectious Diseases,
(A) Conjunctivitis due to Chlamydia trachomatis is the most common infectious cause of ophthalmia neonatorum. This 10-day-old neonate presented with lid.

(A) Conjunctivitis due to Chlamydia trachomatis is the most common infectious cause of ophthalmia neonatorum. This 10-day-old neonate presented with lid.
(A) Head computed tomographic scan of a young woman who experienced ecstasy-induced syndrome of inappropriate antidiuretic hormone secretion (SIADH) shows.

(A) Head computed tomographic scan of a young woman who experienced ecstasy-induced syndrome of inappropriate antidiuretic hormone secretion (SIADH) shows.
(A) Extrapyramidal signs seen here such as torticollis, inability to speak, and trismus were the presenting complaints in this girl who was brought to.

(A) Extrapyramidal signs seen here such as torticollis, inability to speak, and trismus were the presenting complaints in this girl who was brought to.
(A) Swelling of the knee and pain were the presenting complaints of this 12-year-old adolescent girl who was seen twice in the ED and sent home without.

(A) Swelling of the knee and pain were the presenting complaints of this 12-year-old adolescent girl who was seen twice in the ED and sent home without.
CT scan of the abdomen demonstrates grade 4 laceration of the spleen, extending to hilum with smaller areas of laceration. Active extravasation was also.

CT scan of the abdomen demonstrates grade 4 laceration of the spleen, extending to hilum with smaller areas of laceration. Active extravasation was also.
(A) The most commonly aspirated food products by infants and children include peanuts, chunky peanut butter, hot dogs, popcorn, seeds, grapes, raisins,

(A) The most commonly aspirated food products by infants and children include peanuts, chunky peanut butter, hot dogs, popcorn, seeds, grapes, raisins,
(A) The king cobra (Ophiophagus hannah) is the world’s longest venomous snake and can measure up to 5.5 m. When undisturbed, they have cylindrical bodies.

(A) The king cobra (Ophiophagus hannah) is the world’s longest venomous snake and can measure up to 5.5 m. When undisturbed, they have cylindrical bodies.
Cellulitis spreads more slowly and extends more deeply into the subcutaneous tissues; hence, the borders of cellulitis are ill-defined (in contrast to.

Cellulitis spreads more slowly and extends more deeply into the subcutaneous tissues; hence, the borders of cellulitis are ill-defined (in contrast to.
(A) This child dislocated the MCP joint of his thumb as a result of hyperextension force while falling on an outstretched hand. Gentle traction along with.

(A) This child dislocated the MCP joint of his thumb as a result of hyperextension force while falling on an outstretched hand. Gentle traction along with.
(A) An axial CT scan demonstrates a grade II splenic laceration with a small amount of hemoperitoneum. (B) An axial CT scan demonstrates a grade III splenic.

(A) An axial CT scan demonstrates a grade II splenic laceration with a small amount of hemoperitoneum. (B) An axial CT scan demonstrates a grade III splenic.
(A–D) Progression of 12-Lead ECG obtained from the same patient (Figure 5.41) over a 15-minute period. (A) ECG showing sinus tachycardia at a rate of 150.

(A–D) Progression of 12-Lead ECG obtained from the same patient (Figure 5.41) over a 15-minute period. (A) ECG showing sinus tachycardia at a rate of 150.
(A) A 14-month-old Chinese boy was found unconscious with vomitus on floor of his grandmother’s bedroom. An open tube of a topical rubefacient was also.

(A) A 14-month-old Chinese boy was found unconscious with vomitus on floor of his grandmother’s bedroom. An open tube of a topical rubefacient was also.
(A) A 12-year-old child presented with a painless, rubbery, firm cervical lymphadenopathy of 3 months’ duration. Enlarged lymph nodes extended over both.

(A) A 12-year-old child presented with a painless, rubbery, firm cervical lymphadenopathy of 3 months’ duration. Enlarged lymph nodes extended over both.
Retropharyngeal Abscess

Retropharyngeal Abscess

Similar presentations

Ads by Google