On 11/04/2007, at 6:02, Catherine Watson Genna, IBCLC wrote:

> The first thing I'd think about would be sexual abuse, especially  
> since the family was out of their normal environment.

Also, girls of this age sometimes insert small foreign bodies into  
their vagina or even urethra, just as they do their nose and ears.  
They present most commonly with bleeding, or with a  bad-smelling  
discharge.

I can't get to the full article from here, but if you have an  
institutional subscription you may be able to:

http://pedsinreview.aappublications.org/cgi/content/extract/19/1/34
Genital Foreign Bodies
Giuseppina Di Meglio, MD
University of Rochester Medical Center Rochester, NY
Pediatrics in Review. 1998;19:34

Lara Hopkins (family doctor)

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