A 16-year-old female presents with cryptomenorrhea and with normal secondary sexual characters. Investigation of choice is
Correct Answer: Genital exam for out flow obstruction
Description: (C) Genital exam for out flow obstruction # Girls with Imperforate Hymen present with colicky abdominal pain which is often cyclic.> Menarche has not yet set in, however the secondary sexual characters have been well developed.> As vagina gets progressively & increasingly distended with menstrual blood, pressure symptoms follow. Difficulty during micturition finally ends up with urinary retention> On examination a hypogastric or suprapubic bulge is often obvious which may cause discomfort on palpation.> It may be mistaken for a full bladder, ovarian cyst, appendicular mass, matted loops of bowel and omentum, encysted ascites due to tuberculosis, or even pregnancy.> On separation of the labia, a bluish bulging membrane is recognized. Thus the diagnosis of imperforate hymen causing haematocolpos is arrived at a rectal examination reveals the bulge of the vagina anteriorly.> An imperforate hymen causing haematocolpos is not an infrequent clinical entity. It is observed in young girls.
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now