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Box 1.  

Contact/irritant vulvitis: key elements.

Box 2.  

Management of dysfunctional uterine bleeding.

CME

Common Problems in Pediatric and Adolescent Gynecology

  • Authors: Paige Hertweck, MD; Jennie Yoost, MD
  • CME Released: 5/4/2010
  • THIS ACTIVITY HAS EXPIRED
  • Valid for credit through: 5/4/2011
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Target Audience and Goal Statement

This activity is intended for pediatricians, gynecologists, and other specialists who care for female children and adolescents.

The goal of this activity is to review the more common gynecologic problems seen in girls and adolescents and their management.

Upon completion of this activity, participants will be able to:

  1. Describe the difference between gynecologic problems in female children and adolescents
  2. Identify the most common pathogens involved in prepubertal vulvovaginitis
  3. Compare the accuracy of tests for gonorrhea and Chlamydia in children
  4. Describe dermatologic gynecologic conditions in children
  5. Describe the etiology and presentation of vaginal foreign bodies in children and adolescents


Disclosures

As an organization accredited by the ACCME, Medscape, LLC, requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.

Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.


Author(s)

  • Paige Hertweck, MD

    Department of Obstetrics, Gynecology and Women's Health, University of Louisville School of Medicine, Louisville, Kentucky

    Disclosures

    Disclosure: Paige Hertweck, MD, has disclosed the following relevant financial relationship:
    Served as a speaker or a member of a speakers bureau for: Merck & Co., Inc.

  • Jennie Yoost, MD

    Department of Obstetrics, Gynecology and Women's Health, University of Louisville School of Medicine, Louisville, Kentucky

    Disclosures

    Disclosure: Jennie Yoost, MD, has disclosed no relevant financial relationships.

Editor(s)

  • Elisa Manzotti

    Editorial Director, Future Science Group, London, United Kingdom

    Disclosures

    Disclosure: Elisa Manzotti has disclosed no relevant financial relationships.

CME Author(s)

  • Désirée Lie, MD, MSEd

    Clinical Professor, Family Medicine, University of California, Irvine, Orange, California; Director of Research and Patient Development, Family Medicine, University of California, Irvine, Medical Center, Rossmoor, California

    Disclosures

    Disclosure: Désirée Lie, MD, MSEd, has disclosed the following relevant financial relationship:
    Served as a nonproduct speaker for: "Topics in Health" for Merck Speaker Services

CME Reviewer(s)

  • Sarah Fleischman

    CME Program Manager, Medscape, LLC

    Disclosures

    Disclosure: Sarah Fleischman has disclosed no relevant financial relationships.


Accreditation Statements

    For Physicians

  • This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Medscape, LLC and Expert Reviews Ltd. Medscape, LLC is accredited by the ACCME to provide continuing medical education for physicians.

    Medscape, LLC designates this educational activity for a maximum of 1.50 AMA PRA Category 1 Credit(s)™ . Physicians should only claim credit commensurate with the extent of their participation in the activity.

    Medscape, LLC staff have disclosed that they have no relevant financial relationships.

    Contact This Provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]


Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or printed out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. MedscapeCME encourages you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print out the tally as well as the certificates by accessing "Edit Your Profile" at the top of your Medscape homepage.

*The credit that you receive is based on your user profile.

CME

Common Problems in Pediatric and Adolescent Gynecology

Authors: Paige Hertweck, MD; Jennie Yoost, MDFaculty and Disclosures
THIS ACTIVITY HAS EXPIRED

CME Released: 5/4/2010

Valid for credit through: 5/4/2011

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Introduction

Pediatric and adolescent gynecology focuses on a unique subset of gynecologic disorders among younger females. In the pediatric patient, gynecologic issues often present as vulvar and vaginal problems, while in the adolescent patient, complaints of abdominopelvic pain and abnormal menstrual bleeding commonly result in a gynecologic evaluation. This article focuses on two common vulvovaginal problems in the pediatric patient: vulvovaginitis and accidental genital trauma. Common infectious pathogens and treatments are reviewed along with other dermatologic and chemical causes of vulvovaginitis. The review of genital trauma focuses on various types of injury: straddle, penetrating and lacerations, and includes indications for surgical intervention. Pain and bleeding are the most common reasons for adolescents to frequent the gynecologist office, and this review focuses on these two topics, specifically menorrhagia and endometriosis. Etiologies of menorrhagia are reviewed with specific attention to anovulation and coagulation disorders. Hormonal therapy for these patients is addressed. The review of endometriosis provides insight into both medical and surgical management for optimum treatment of this disease.

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