TY  - CHAP
M1  - Book, Section
TI  - Child Sexual Abuse Exam and Genital Findings (Sexual Abuse)
A1  - Lindberg, Daniel M.
A1  - Chiesa, Antonia
A1  - Miller, Angie L.
A2  - Knoop, Kevin J.
A2  - Stack, Lawrence B.
A2  - Storrow, Alan B.
A2  - Thurman, R. Jason
Y1  - 2021
N1  - 
T2  - The Atlas of Emergency Medicine, 5e
AB  - The  diagnosis  and  management  of  child  sexual  abuse  differs  from  adult  sexual  assault.  The  majority  of  prepubertal  victims  of  sexual  abuse  will  have  a  normal  genital  exam  without  evidence  of  acute  or  healed  trauma.  Young  children  may  present  due  to  nonspecific  findings  such  as  behavior  changes  or  genital  rash.  The  history  and  context  of  concerns  are  often  most  important  to  make  the  diagnosis.  Knowledge  of  child  development  and  behavior  informs  the  management  and  diagnosis.  An  emergency  department  (ED)  physician  may  ask  questions  as  necessary  for  the  medical  evaluation  of  the  patient.  As  a  rule,  the  history  is  obtained  from  the  caregiver  out  of  the  presence  of  the  child.  Care  should  be  taken  to  avoid  leading  questions,  and  both  the  question  and  the  child’s  answer  should  be  recorded  verbatim  when  possible.  Forensic  interviews  should  be  performed  by  professionals  trained  in  interviewing  children  for  possible  sexual  abuse.  
SN  - 
PB  - McGraw-Hill
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181050715
ER  -