FCOG-1178

FCOG-1178

A 6-year-old girl is brought to the emergency department for evaluation of vaginal discharge.  She has had malodorous vaginal discharge and small amounts of vaginal bleeding for about a week. Her mother called the patient’s primary care provider and instructed to stop giving bubble baths to the child, however, the symptoms have not improved. Aside from the discharge, the girl is normal, she was toilet trained at age 2 and has had no episodes of incontinence.  She started kindergarten a month ago. Mother informed that patient has no fever, abdominal pain, or dysuria. 

On examination, the labia appear normal but a purulent, malodorous vaginal discharge is noted.  Visual inspection with the child in knee-chest position shows a whitish foreign body inside the vaginal introitus. 

Which among the following is the best next step in management of this patient?