• Pharmacology
  • Allergy, Immunology, and ENT
  • Cardiology
  • Emergency Medicine
  • Endocrinology
  • Adolescent Medicine
  • Gastroenterology
  • Infectious Diseases
  • Neurology
  • OB/GYN
  • Practice Improvement
  • Gynecology
  • Respiratory
  • Dermatology
  • Mental, Behavioral and Development Health
  • Oncology
  • Rheumatology
  • Sexual Health
  • Pain

Clinical Tip: A hands-off approach to perineal examination


A hands-off approach to perineal examination

When examining the perineum of infants or slightly older girls or boys, place the child supine on the table and lift her (his) legs so the knees are close to the face. If the child is old enough, ask her to try to kiss her knees. This maneuver exposes the full perineal area and makes it easy to look for anal tags, fissures, or vaginal discharge or to assess the extent of diaper rash with very minimal touching. Less touching means less apprehension and a quicker, easier examination.

Madhu Desiraju, MDWinter Springs, Fla.

Related Videos
Natasha Hoyte, MPH, CPNP-PC
Lauren Flagg
Venous thromboembolism, Heparin-induced thrombocytopenia, and direct oral anticoagulants | Image credit: Contemporary Pediatrics
Sally Humphrey, DNP, APRN, CPNP-PC | Image Credit: Contemporary Pediatrics
Ashley Gyura, DNP, CPNP-PC | Image Credit: Children's Minnesota
Congenital heart disease and associated genetic red flags
Traci Gonzales, MSN, APRN, CPNP-PC
© 2024 MJH Life Sciences

All rights reserved.