Endo Battery

QC: Pediatric Gynecology: When and How to Perform Safe Pelvic Exams for Young Patients


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Dr. Megan Wasson from Mayo Clinic explains how pediatric gynecological exams can be performed without causing trauma to young patients. She shares expertise on using external examinations and imaging techniques as alternatives to traditional speculum exams for diagnosing pelvic pain in adolescents.

• Speculum exams generally aren't appropriate for pediatric and adolescent patients, especially those who aren't yet sexually active
• External inspection of the vulva and introitus can identify conditions like imperforate hymen without invasive procedures
• Abdominal ultrasounds can effectively check uterine and ovary structure without internal examination
• Healthcare providers should avoid CT scans for young patients due to radiation exposure concerns
• MRIs should be used selectively as the lengthy, noisy procedure may cause trauma for children
• Physicians must balance diagnostic benefits against potential physical and emotional harm

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