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Office Evaluation of the Child and Adolescent S. Jean Emans Office Evaluation of the Child and Adolescent Gynecologic assessment and inspection of the external genitalia of the infant and child are an opportunity to provide preventive health care and to diagnose important clinical conditions. Although gynecologic problems are uncommon in young girls, assessment of breast development and the external genitalia should be part of the routine physical examination.

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We asked two experts to weigh in: Dr. It self-corrects for most kids as they grow, but until their bodies change, it may be more natural for them to sit in a W. Parents may find it hard to understand because their adult anatomy is different.

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Back to Health A to Z. Developmental dysplasia of the hip DDH is a condition where the "ball and socket" joint of the hip does not properly form in babies and young children. The hip joint attaches the thigh bone femur to the pelvis.

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W-sitting is when a child sits on their bottom with their knees bent and feet positioned outside of their hips. If your toddler enjoys W-sitting, there are steps you can take to break their W-sitting habit. If you notice your child frequently sitting in a W-position, take steps to correct the behavior.

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Some of these problems are present at birth congenital. Others develop as your child grows. DDH can range from mild to serious.

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Hip pathology may cause groin pain, referred thigh or knee pain, refusal to bear weight or altered gait in the absence of pain. A young child with an irritable hip poses a diagnostic challenge. Transient synovitis, one of the most common causes of hip pain in children, must be differentiated from septic arthritis.

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Articles in the December issue discuss various health issues affecting school-aged children, including acne, eczema and growth disorders. Volume 43, No. Traditionally, the management of hip pain has been well defined by age groups such as the limping child and older patients with symptomatic osteoarthritis OA.

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JOHN J. Patient information: See related handout on hip painwritten by the authors of this article. See CME Quiz questions.

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Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians. Obesity is a significant risk factor. During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt.

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