TY - CHAP M1 - Book, Section TI - Sexual Abuse A1 - Beers, Sara L. A2 - Schafermeyer, Robert A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. PY - 2014 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 4e 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/orlaw enforcement).Sexually transmitted diseases (STDs) are extremely rare in cases of pediatric sexual abuse.Screening for and empiric treatment of STDs is not routinely recommended in cases of pediatric sexual abuse.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=1105688146 ER -