Vulvovaginitis

00:01 Let's now talk about foreign bodies in young girls.

00:03 Vaginal discharge is a common finding in patients who come to your clinic.

00:08 The foreign body is usually a cause of this discharge and this can occur in more than 18% of patients.

00:15 The most common foreign body is toilet tissue, but other foreign bodies should prompt further questioning.

00:23 Often a young child cannot tell you how a foreign body got there but if you find other foreign bodies this may increase your suspicion for abuse.

00:32 Let's now review vulvovaginitis in the pediatric GYN population.

00:37 You can have non-specific vulvovaginitis versus specific vulvovaginitis In specific vulvovaginitis, respiratory pathogens are often a culprit.

00:49 You can also have enteric pathogens.

00:53 Yeast or candida and sexually transmitted diseases, which would indicate sexual abuse.

01:00 Pinworms are also very common as well as foreign bodies such as toilet tissue.

01:06 Polyps and tumors should also be investigated as well as systemic illnesses, vulvar skin disease, trauma and psychosomatic vaginal complaints and other miscellaneous irritants.

01:21 Recall that a young girl is hypoestrogenic and therefore her vulva is prone to irritation.