Evaluating for Abuse in a Child with a Disability
- Patient able to tolerate stirrups.
- She used her iPad with Sesame Street, which was her favorite.
- Her genital exam was remarkable for erythema of the labia majora, and a thick white vaginal discharge; there was no sign of genital trauma.
- She had no tenderness to palpation of her inner thighs.
- She had areas of hyperpigmentation on her proximal inner thighs.
Accessible Version
The patient was able to tolerate the stirrups.
She viewed her iPad with her favorite show, Sesame Street, playing. Her mother held her iPad for her. I instructed the mother not to completely block her view of me. During the exam, it is important to watch the patient’s face for signs of distress.
Her genital exam was remarkable for erythema of the labia majora, and a thick white vaginal discharge; there was no sign of genital trauma.
She had no tenderness to palpation of her inner thighs.
She had areas of hyperpigmentation on her proximal inner thighs.
