No Active External Bleeding in Pediatrics — Case | Pediatric Emergency | SMLE Q#17474
SMLE Question #17474
Pediatrics
Pediatric Emergency
Objective: OBJ-STRADDLE-001
Last updated: February 2026
A 9-year-old prepubertal girl is brought to the emergency department after falling onto a bicycle crossbar (straddle injury). She has severe vulvar pain and swelling. Exam shows a tense, tender 4 × 5 cm hematoma of the left labia majora with no active external bleeding. She can void a small amount but with significant discomfort. There is no abdominal tenderness and no evidence of penetrating injury. What is the most appropriate next step in management?
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