Welcome to a new recurring feature on the PEM Blog. I’ll be highlighting some straightforward clinical cases and reviewing diagnosis and treatment.
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The mother of 3 year old girl is concerned because she saw blood in her underpants. The patient complains of no pain. Examination shows the following
This is what the mom saw
What is the diagnosis?
Urethral prolapse
What is the treatment?
Topical estrogen cream for 4-6 weeks with Primary Care Physician follow up.
Do you need to consult a Gynecologist or Urologist?
Unless the tissue is necrotic, or excruciatingly painful – No.
That’s all – see you next time
