Camille Imbo, MD PGY6 and Susan Kaufman, MD talk about how to work up and examine prepubertal bleeding, as well as differential diagnoses.

Outline

• Patient and Family History
• Examination techniques and consent
• positioning and observation techniques
• differential diagnoses of prepubertal bleeding
• Common Causes
• Rare Causes
• Case review

Check out the episode visuals on YouTube.

References:

• Clinical Review: Prepubertal Bleeding, Valerie Bloomfield, MD, FRCSC, Abigail Iseyemi, MD,FRCSC, Sari Kives, MD, MSc, FRCSC, JPAG, 2023
• Current review of prepubertal vaginal bleeding, Dwiggins, Gomez-Lobo, 2017
• Essentials of Pediatric and Adolescent Gynecology: Chapter 7

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What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

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