Follow-up
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When you see Molly and her grandmother on their follow-up visit, you ask
how Molly is doing. Grandma responds that Molly has had sitz baths three
times a day over the past 2 days and has air-dried afterwards, just as you
advised. She states that the discharge has persisted but has decreased in
amount. Molly still denies any pain or itching, and has not voiced any
complaints to her grandmother. Her physical exam is unchanged since her
last visit. Since Molly does not have a history of any drug allergies, you prescribe her a 10-day course of penicillin. You also educate her on the importance of using a tissue to blow her nose and washing her hands frequently. You meet with Molly 2 weeks later and both her upper respiratory and
vaginal symptoms have completely resolved. She also tells you that she
remembers what you taught her about her “private parts” and that neither
Joey nor anyone else has touched her in those places. |
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Authors:
Faculty reviewers:
Sources: (1) American Academy of Pediatrics. SCAN (Suspected Child Abuse and Neglect Program) Notes: 9/99. (2) Berek, Jonathan S., Adashi, Eli Y. and Hillard, Paula A. Novak’s Gynecology, 12th Ed. Williams and Wilkins, Baltimore: 1996. (3) Behrman, Richard E., Kliegman, Robert M. and Jenson, Hal B. Nelson Textbook of Pediatrics, 16th Ed. W.B. Saunders Company, Philadelphia: 2000. (4) Feigin, Ralph D. and Cherry, James D. Textbook of Pediatric Infectious Disease, 4th Ed., Volume 1. W.B. Saunders Company, Philadelphia: 1998. (5) Lahoti, Sheela et al. “Evaluating the Child for Sexual Abuse”. American Family Physician. March 1, 2001, Volume 63, Number 5. http://www.aafp.org/afp/20010301/883.html (6) Parker, Steven and Zuckerman, Barry. Behavioral and Developmental Pediatrics: A Handbook for Primary Care. Library of Congress: 1994. |
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