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Chapter: Paediatrics: Clinical assessment

Paediatrics: Genitourinary system

For hands, mouth, tongue, abdomen, and eyes see b Respiratory system, Cardiovascular system, and Gastrointestinal system.

Genitourinary system

For hands, mouth, tongue, abdomen, and eyes see b Respiratory system, Cardiovascular system, and Gastrointestinal system. The external genitalia are examined for any evidence of ambiguity, congenital abnormality, and size. For this examination you should have a chaperone present for both sexes. In the older child you must ensure privacy and preserve the child’s dignity with the appropriate use of covers and gowns. Examine once only.

·  In boys: development of the penis, testes, scrotum, and pubic hair can be staged using a standardized system (Tanner scale). Look at the state of the foreskin. Is there evidence of infection or discharge. Locate the position of the penile meatus. Have both testes descended?

·  In girls: Tanner stage the pubic hair. Is there evidence of fused labia, enlarged clitoris, or infection with discharge or bleeding?

 

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Paediatrics: Clinical assessment : Paediatrics: Genitourinary system |


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