Blood Pressure: N/A

Pulse: N/A

Weight: 8.6

Temperature: 36.6

Glucose:

History
parents requests that the child be examined for possible sexual assault. 10 months, no PV bleeding, reports that the child cries when being touched vaginally, even when changing a nappy

Diagnosis
no signs of forced penetration, no bleeding, no swelling, no hematoma, no echimosis, no abrasion, no tears, posterior fouchet tears,hymen intact,fascicular also complains of constipation and ear pain,otitis media

Medication
amoxil 2.5ml tds po panamo 2.5 ml tds po lactulose 5ml tds po

Sick Leave
0