TY - CHAP M1 - Book, Section TI - Sexual Abuse A1 - Pantell, Robert H. A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. A2 - Schafermeyer, Robert Y1 - 2019 N1 - T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 5e AB - Most sexual abuse examinations in children are normal even with known sexual abuse.The history is usually the most important piece of evidence in cases of suspected sexual abuse in children.All 50 states require reporting suspected child abuse, including sexual abuse, to a proper investigatory agency (child protective services and/or law enforcement).Sexually transmitted diseases (STDs) are uncommon in cases of pediatric sexual abuse.Empiric treatment of STDs is not routinely recommended in cases of pediatric sexual abuse, especially in prepubescent children. Case-by-case determinations should be made.Forensic evaluation is recommended by the American Academy of Pediatrics (AAP) when the abuse occurred within the previous 72 hours.Speculum examinations are not indicated in preadolescent female sexual abuse patients. A thorough external genital examination is sufficient. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1155750306 ER -