The Pediatric Patient

  • PonJola Coney
Part of the Clinical Perspectives in Obstetrics and Gynecology book series (CPOG)

Abstract

The leading causes of death in children are injuries due to blunt and penetrating trauma, malignancies, and congenital malformations. Vaginal bleeding and abnormal development are among the challenging problems that channel the pediatric patient to the gynecologist. These problems, adolescent pregnancy and unannounced emergencies, often bring the pediatric patient to the gynecologist for the first time. When called on to care for the pediatric patient, the gynecologist is confronted with a tremendous challenge that requires recognition and appreciation of signs and symptoms that may represent major or minor disease processes. A diagnosis should be made with confidence and a management plan begun at once. Training programs in obstetrics and gynecology do not always provide experience in caring for pediatric patients.

Keywords

Obstet Gynecol Granulosa Cell Tumor Gonadal Dysgenesis Dysfunctional Uterine Bleeding Polycystic Ovarian Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Huffman JW. Gynecologic endocrine disorders in childhood and adolescence. Clin Obstet Gynecol. 1973; 16: 51–81.PubMedCrossRefGoogle Scholar
  2. 2.
    Carrington ER. Gynecologic problems in infants and prepubertal girls. Surg Clin N Am. 1954; 34: 1615–1626.Google Scholar
  3. 3.
    Bongiovanni AM, Eberlein WR. Defective steroidal biogenesis in congenital adrenal hyperplasia. Pediatrics. 1958; 21: 661–672.PubMedGoogle Scholar
  4. 4.
    Rosenfield RL, Miller WL. Congenital adrenal hyperplasia. In: Mahesh VB, Greenblatt RB, eds. Hirsutism and virilism. Boston: John Wright, 1983: p. 87–119.Google Scholar
  5. 5.
    Bongiovanni AM. Unusual steroid pattern in congenital adrenal hyperplasia: Deficiency of 3β-hydroxy dehydrogenase. J Clin Endocrinol Metab. 1961; 21: 860–862.CrossRefGoogle Scholar
  6. 6.
    Capraro V. Surgical correction of genital anomalies. In: Sciarra JJ, McElin TW, eds. Gynecol and Obstetrics. Hagerstown: Harper and Row, 1981: Chapter 53, p. 1–12.Google Scholar
  7. 7.
    Farber M, Noumoff J, Freedman M, et al. Understanding and correcting genital anomalies. Contemp Obstet Gynecol. 1984; 24: 113–129.Google Scholar
  8. 8.
    Evans TN, Poland ML, Boving RL. Vaginal malformations. Am J Obstet Gynecol. 1981; 141: 910–920.PubMedGoogle Scholar
  9. 9.
    Fraser IS, Baird DT, Hubson BM, et al. Cyclical ovarian function in women with congenital ab-sence of the uterus and vagina. J Clin Endocrinol Metab. 1973; 36: 634–637.PubMedCrossRefGoogle Scholar
  10. 10.
    Frank RT. Formation of an artificial vagina without operation. Am J Obstet Gynecol. 1938; 35: 1053–1055.Google Scholar
  11. 11.
    MacIndoe A. The treatment of congenital absence and obliterative conditions of the vagina. Br J Plast Surg. 1950; 2: 254–267.Google Scholar
  12. 12.
    Addison WA, Hammond CB. Successful management of vaginal agenesis—a team effort. Contemp Obstet Gynecol. 1981; 17: 61–74.Google Scholar
  13. 13.
    Rock JA, Reeves LA, Retto H, et al. Success following vaginal creation for mullerian agenesis. Fertil Steril. 1983; 39: 809–813.PubMedGoogle Scholar
  14. 14.
    Vasquez SB. Mullerian duct agenesis and other congenital anomalies. J Adolesc Health Care. 1982; 2: 289–290.PubMedCrossRefGoogle Scholar
  15. 15.
    David A, Carmil D, Bar-David E, et al. Congenital absence of the vagina. Clinical and psychologic aspects. Obstet Gynecol. 1975; 46: 407–409.PubMedGoogle Scholar
  16. 16.
    Sarto GE. Cytogenetics of fifty patients with primary amenorrhea. Am J Obstet Gynecol. 1974; 119: 14–23.PubMedGoogle Scholar
  17. 17.
    Sarto GE. Genetic disorders affecting genital development in 46 XY individuals (male pseudo hermaphroditism). Clin Obstet Gynecol. 1972; 15: 183–202.PubMedCrossRefGoogle Scholar
  18. 18.
    Morris JM, Mahesh VB. Further observations on the syndrome “testicular feminization.” Am J Obstet Gynecol. 1963; 87: 731.PubMedGoogle Scholar
  19. 19.
    Davidoff F, Federman DD. Mixed gonadal dysgenesis pediatrics 1973; 52: 725–742.Google Scholar
  20. 20.
    Khalid AK, Bond AG, Ennis G, et al. Dysgerminoma—Gonadoblastoma and familial 46 XY pure gonadal dysgenesis: case report and review of the genetics and pathophysiology of gonadal dysgenesis and H-Y antigen. Aust NZ J Obstet Gynaecol. 1982; 22: 175–179.CrossRefGoogle Scholar
  21. 21.
    Schellhas HF, Trujillo JM, Rutledge FN, et al. Germ cell tumors associated with XY gonadal dysgenesis. Am J Obstet Gynecol. 1971; 109: 1197–1203.PubMedGoogle Scholar
  22. 22.
    Scully RE. Gonadoblastoma. A review of 74 cases. Cancer. 1970; 25: 1340–1355.PubMedCrossRefGoogle Scholar
  23. 23.
    Heald FP. Ovarian tumors during adolescence. In: Heald FP, ed. Adolescent gynecology. Baltimore: Williams and Wilkins, 1966; p. 69–76.Google Scholar
  24. 24.
    Reis R, Koop C. Ovarian tumors in infants and children. J Pediatr. 1962; 60: 96–102.PubMedCrossRefGoogle Scholar
  25. 25.
    Morris JM. Functional tumors of the ovary. Clin Obstet Gynecol. 1961; 4: 821–833.PubMedCrossRefGoogle Scholar
  26. 26.
    Shalet SM. Effects of cancer chemotherapy on gonadal function of patients. Cancer Treat Rev. 1980; 7: 141–152.PubMedCrossRefGoogle Scholar
  27. 27.
    Stillman RJ, Schiff I, Schinfeld J. Reproductive and gonadal function in the female after therapy for childhood malignancy. Obstet Gynecol Surv. 1982; 37: 385–393.PubMedCrossRefGoogle Scholar
  28. 28.
    Horning SJ, Hoppe RT, Kaplan HS, et al. Female reproductive potential after treatment for Hodgkin’s disease. N Engl J Med. 1981; 304: 1377–1382.PubMedCrossRefGoogle Scholar
  29. 29.
    Fraser IS, Michie EA, Wide L, et al. Pituitary gonadotropins and ovarian function in adolescent dysfunctional uterine bleeding. J Clin Endocrinol Metab. 1973; 37: 407–414.PubMedCrossRefGoogle Scholar
  30. 30.
    Southam AL, Richart RM. Prognosis for adolescents with menstrual abnormalities. Am J Obstet Gynecol. 1966; 94: 637–645.PubMedGoogle Scholar
  31. 31.
    Southam AL. Metropathia hemorrhagica and nonpsychogenic amenorrhea. In: Heald FP, ed. Adolescent gynecology. Baltimore: Williams and Wilkins, 1966: p. 45–57.Google Scholar
  32. 32.
    Vollman RF. Patterns of menstrual performance in adolescent girls. Proc Second World Congr Fertil Steril, Naples, 1956, p. 27.Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1986

Authors and Affiliations

  • PonJola Coney

There are no affiliations available

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