Sexual Abuse

Since sexual abuse is all too common, you will need to recognize genital abnormalities associated with sexual abuse. These include:

(A) Acute hemorrhage and ecchymoses of tissues (10-mo old)

(B) Erythema and superficial abrasions to the labia minora (5-yr old)

(C) Healed interruption of hymenal membrane at 9 o'clock (4-yr old)

(D) Narrowed posterior ring continuous with floor of vagina (12-yr old)

(E) Copious vaginal discharge and erythema (9-yr old)

(F) Extensive condylomata around the anus (2-yr old)

(Sources of photos: Ambiguous Genitalia—McMillan J, DeAngelis C, Feigin R Warshaw J: Oski's Pediatrics, 3rd ed., Philadelphia, Lippincott Williams & Wilkins, 1999; Sexual Abuse, (A), (B), (C), (D), (E), (F)—Reece R Ludwig S (eds.): Child Abuse Medical Diagnosis and Management, 2nd ed., Philadelphia, Lippincott Williams & Wilkins, 2001.)

Anxiety and Depression 101

Anxiety and Depression 101

Everything you ever wanted to know about. We have been discussing depression and anxiety and how different information that is out on the market only seems to target one particular cure for these two common conditions that seem to walk hand in hand.

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