Introduction:Vaginal discharge is the most frequent complaint in Gynecology at any age. Pediatric and Adolescent Gynecology has specific features that differentiate it from gynecological care of women from other age groups. The search for a doctor, for children and adolescents, is generally accompanied by concern of parents and guardians. Objective: To evaluate the relevance of the clinical diagnosis face to the complaints suggestive of vulvovaginitis in children and adolescents. To identify symptoms, diagnoses, treatments, and outcomes in the study population. Subjects and Methods: Children and adolescents up to the of age of 15 years were selected for this retrospective study. They were looked after at the Pediatric and Adolescent Gynecology Ambulatory of the Hospital Universitário Antonio Pedro from 01/01/2002 to 31/12/2012. The following variables were studied: the city of origin of the patients, the way they were routed, age, status with or without menarche, complaints, while complaints, co morbidities, diagnosis, treatments performed, and outcome. Nonparametric test was used to verify the hypotheses established for the continuous variables. Results: From the pool of 203 patients included in the study, 46 had lack of hygiene care; 76, inappropriate clothing habits; 67, both; 11 patients were diagnosed with candidiasis; one was a carrier of the coalescence of the labia minora, and only two showed, vulvovaginitis. Conclusions: The relevance of the clinical diagnosis was proved, face to the complaints suggestive of vulvovaginitis, as 93.1 % of the study group did not show any kind of pathology.

Introduction: The role of primary chemotherapy in breast cancer is well established and has positively impacted the number of conservative surgeries. However, for effective locoregional control, it is necessary for complete resection of the residual tumor, with histopathological free margins. Preoperative evaluation of the residual tumor is essential. A clinical examination is impaired due to tissue alterations induced by chemotherapy, and the use of imaging methods had conflicting results. Objective: The aim of this study was to evaluate the agreement between the ultrasound measurement and the histopathological measurement of the residual tumor in breast cancer patients undergoing neoadjuvant chemotherapy. Methods: A cross-sectional study was conducted comparing the average and other measures of dispersion of the echographic and histopathological measurements of the residual tumor. Additionally, we compared the average and other measures of dispersion of the individual differences between the echographic and histopathological measurements of the residual tumor. The scenario was a quaternary hospital in Rio de Janeiro where breast cancer patients were treated. Results: The average ultrasound measurement was 18 mm (95%CI 13.75–22.25), with a median of 16. The average histopathological measurement was 16 mm (95%CI 11.62–20.38), with a median of 12. The average of the individual differences between the echographic and histopathological measurements of the residual tumor was 2 mm (95%CI 0.38–4.38), with a median of 2 mm. Conclusion: Ultrasonography is an effective tool in the preoperative evaluation of breast cancer patients undergoing primary chemotherapy.

Introdução: A eliminação da sífilis congênita é um desafio da saúde pública mundial, mesmo tendo diagnóstico e tratamento definidos. A falha de planos anteriores força as autoridades a repensar as estratégias de detecção e controle, sendo a notificação compulsória ferramenta importante na obtenção de dados. Objetivo: Analisar as notificações de sífilis congênita entre janeiro de 2016 e agosto de 2020 pelo Departamento de Vigilância Epidemiológica do Hospital Universitário Antônio Pedro. Métodos: Estudo retrospectivo, descritivo e quantitativo dos dados de fichas de notificação de sífilis congênita no Hospital Universitário Antônio Pedro. Na análise descritiva das variáveis categóricas foram utilizadas as frequências absolutas e relativas, já para numéricas foram utilizadas medidas tendência central e dispersão. Foram feitas correlação de Spearman, testes de Mann-Whitney e exato de Fisher, com o software R (versão 4.0.3). Foram considerados os critérios de Hills para causalidade. Resultados: Das 67 fichas examinadas, foram excluídas duas por duplicidade. Foram analisadas 48 variáveis. Nenhuma ficha estava completamente preenchida e alguns dados estavam ausentes em mais de 90%. Dos dados maternos: 60% de Niterói (RJ), com idade de 23,09 anos em média, pardas (32,31%), 13,85% pararam os estudos entre a quinta e a oitava série e 80% fizeram pré-natal, porém menos da metade teve tratamento adequado indicado. Quanto às crianças: 55,38% eram do sexo feminino, 40% pardas, com idade média de 90,98 dias e 72,31% nasceram no Hospital Universitário Antônio Pedro, sendo isso significativo para serem assintomáticas (69,23%, p=0,001) e, quando presente, o sintoma foi a icterícia. Conclusão: A melhora do seguimento e investigação dos casos notificados pode diminuir significativamente essa alta porcentagem de informações ausentes, melhorando a qualidade da informação. A grande maioria fez acompanhamento pré-natal e, portanto, trata- -se de caso evitável, já que o diagnóstico materno no período periparto acontece quando a transmissão vertical já ocorreu.

Introduction: The elimination of congenital syphilis is a challenge in the field of public health worldwide. The failure of previous global plans forces authorities to rethink detection and control strategies, with compulsory notification being an important tool for obtaining data. Objective: To analyze the notifications of congenital syphilis made by Departamento de Vigilância Epidemiológica do Hospital Universitário Antônio Pedro (Department of Epidemiological Surveillance at Antônio Pedro University Hospital), between January 2016 and August 2020. Methods: Retrospective, descriptive, and quantitative study of data from congenital syphilis notification forms in Hospital Universitário Antônio Pedro from January 2016 to August 2020. In the descriptive analysis of categorical variables, absolute and relative frequencies were used; for numerical measures, central tendency and dispersion measures were used. Spearman correlation, Mann-Whitney test and Fisher’s exact test were performed in the R software (version 4.0.3). Hills’ criteria for causality were also considered. Results: Of the 67 forms examined, two were excluded due to duplication, and 48 variables were analyzed. No form was completely filled out, and some data were missing on more than 90% of them. According to maternal data, patients were mostly from Niterói (60%), had an average age of 23.09 years, and were brown (32.31%), while 13.85% did not finish 5th to 8th grade and 80% had prenatal care, but less than half had appropriate treatment indicated. As for the children: 55.38% were female, 40% brown, with an average age of 90.98 days. The great majority (72.31%) of them were born at Hospital Universitário Antônio Pedro, and not being born at this hospital was significant when it came to being asymptomatic (69.23%, p=0.001); the most frequent symptom was jaundice. Conclusion: Improvement in the follow-up and investigation of the reported cases can significantly decrease this high percentage of missing information, improving the quality of the data. The vast majority of patients underwent prenatal care, and therefore, they were avoidable cases, since the maternal diagnosis in the peripartum period occurs when the chance for vertical transmission has already occurred and caused consequences for the child’s life.