01-13-2009, 02:43 PM
A 12-year-old girl is brought to the physician by her mother
because of heavy vaginal bleeding since her first menstrual period began 1
week ago. She has to change sanitary pads every 2 hours, and her
mother is concerned that this is not normal. Her blood pressure is 80/60 mm
Hg, and pulse is 110/min. Breast and axillary and pubic hair
development are Tanner stage 4. Pelvic examination shows normal external
genitalia, a small normal-appearing cervix, and a small uterus. Her
hemoglobin level is 7 g/dL.
A ) Bacterial vaginosis
B) Precocious puberty
C) Urinary tract infection
D) Vaginal foreign body
E) Vaginal laceration
F) von Willebrand's disease
because of heavy vaginal bleeding since her first menstrual period began 1
week ago. She has to change sanitary pads every 2 hours, and her
mother is concerned that this is not normal. Her blood pressure is 80/60 mm
Hg, and pulse is 110/min. Breast and axillary and pubic hair
development are Tanner stage 4. Pelvic examination shows normal external
genitalia, a small normal-appearing cervix, and a small uterus. Her
hemoglobin level is 7 g/dL.
A ) Bacterial vaginosis
B) Precocious puberty
C) Urinary tract infection
D) Vaginal foreign body
E) Vaginal laceration
F) von Willebrand's disease
