RT Book, Section
A1 Pantell, Robert H.
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
A2 Schafermeyer, Robert
SR Print(0)
ID 1155750306
T1 Sexual Abuse
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259860751
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1155750306
RD 2024/04/19
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.