9-year-old Girl in Obstetrics & Gynecology — 9yo Child | General Gynecology | SMLE Q#19741

SMLE Question #19741

Obstetrics & Gynecology General Gynecology

Objective: OBJ-OBG-GYN-TRAUMA-001

Last updated: April 2026
A 9-year-old girl is brought to the emergency department 1 hour after falling onto a bicycle crossbar. She has severe perineal pain and refuses to sit. External genital examination shows a tense, bluish swelling confined to the left labia majora. There is no visible laceration or active external bleeding, and she is able to void without difficulty. What is the most appropriate management?

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