04-02-2009, 03:56 PM
The mother of a 2-year-old male child states that she has noticed white, cheeselike material arising from his foreskin and also that she cannot fully retract the foreskin behind the glans penis. Which of the following is the correct advice for this parent?
1. The child has phimosis and requires a circumcision
2. The child has paraphimosis, and in addition to a circumcision, likely has an infection requiring topical antibiotics
3. The child is normal
4. The child likely has a previously undiagnosed hypospadius
5. Ultrasound of kidneys, bladder, and ureters is indicated to check for unidentified associated defects
1. The child has phimosis and requires a circumcision
2. The child has paraphimosis, and in addition to a circumcision, likely has an infection requiring topical antibiotics
3. The child is normal
4. The child likely has a previously undiagnosed hypospadius
5. Ultrasound of kidneys, bladder, and ureters is indicated to check for unidentified associated defects