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Teenaged Girl With a Unilateral Swollen Purple Labium

Teenaged Girl With a Unilateral Swollen Purple Labium

HISTORY

A 13-year-old girl is seen because of a genital injury sustained during a fall from her bicycle. Is post-menarchal. Denies any past or present sexual activity, consensual or coercive. Parents report that she has not been ill-adjusted at school and has had no more behavioral issues than her age cohort in recent months.

PHYSICAL EXAMINATION

Young adolescent who is appropriately upset due to pain and to fear that her disfigurement will endure. Tachycardia, hypertension but no tachypnea and no fever. No evidence of sexual trauma or of sexually transmitted infection on examination of mouth and anus. Abdominal examination normal.

WHAT'S YOUR DIAGNOSIS?

(Answer on next page.)

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