Warts, Moles, and Skin Tags: Facts, Discussion, and Treatment

Basic clinical evaluation of the anus and genitals of newborn

In a clinical observation newborn, evaluation of general physical appearance of the child such as posture, behavior, head of the child, eyes, nose, mouth, neck, ears, chest area and abdomen are absolutely essential. But we must note that even the evaluation bodies genitals and anus are also very important. So how can this be done and what are the possible features to note?

Genital mutilation
Normally, the labia minora and clitoris are edematous, especially after a breech delivery. However, the labia and clitoris must be carefully inspected to identify any evidence of ambiguous genitalia. Normally in a woman's urethral opening is located behind the clitoris. Any deviation from this may suggest that the clitoris might be mistakenly identified as a small penis, which can occur under such conditions as adrenal hyperplasia.

A tag is usually visible hymenal opening posterior vagina. It is composed of tissue of the hymen and the labia minora. It usually disappears in a few weeks, generally, the vault vagina is not inspected, however, the absence of the label may indicate hymenal vaginal agenesis, in which case further examination would be necessary.

Vaginal discharge can be observed during the first week of life. This pseudo-rules is a manifestation of the sharp drop of maternal hormones and usually disappears in 2-4 weeks. discharge in the stools of the vaginal opening indicates a rectovaginal fistula and is always indicated. caseosa vernix may be present in large quantities between the lips.

Male genital
The penis is inspected for the location of the orifice of the urethra, which is located at the end. However, the opening can be completely covered by the prepuce, or foreskin. that covers the glans penis. A tight foreskin is a very common finding in the newborn smegma, a cottage cheese substance, commonly found in the glans penis. under the foreskin. An erection is not uncommon in the newborn. Small, colored lesions White, known as epithelial pearls may be seen as the tip of the foreskin.

The scrotum may be large, edematous, and suspended in the newborn at term, particularly in infants born in breech position. It is more heavily pigmented in dark-skinned races. Hydrocele non-disclosure usually occurs unilaterally and disappears in a few months. The tests should always be palpated in the scrotum. In small infants, particularly premature infants, the testes may be palpable in the inguinal canal. Absence of testes can also be a sign of ambiguous genitalia, and more particularly to the presence of a small penis and scrotum. Inguinal hernias may or may not occur immediately after birth. Identification of a hernia is facilitated by the examination when the baby cries.

Back and anus
With the infant lying, the spine is inspected. The shape of the spine should be slightly rounded, with none of the S-shaped curves seen in later life. Any abnormal opening or masses are noted. A large bag projecting anywhere along the column spine, but usually in the sacral region, indicating some type of spina bifida. A small sinus, which may or may not be in communication with the column spine, is a pilonidal sinus. It is often covered with a tuft of hair. Although he may not have pathological significance, it may indicate the existence spina bifida occulta or be a gateway into the spine. With children always tend, the symmetry of the gluteal fold is carefully noted. Any evidence of asymmetry is reported, and tests of congenital dislocation of the hip are performed.

Passage of meconium during the 24 to 48 hours of life indicates permeability anal. If an imperforate anus is suspected, a rectal thermometer or catheter Rubber must be inserted into the anus. If the thermometer is used, care should be taken to avoid mucosal perforation. With the child still in bed, the buttocks should be gently separated to inspect the anal area for the presence of cracks or small cracks in the mucosa. Anal fissures are a common cause of constipation because the baby will not strain during defecation, to avoid pain. Asymmetry the mucosal folds around the sphincter is also evocative of cracks.

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