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Citation |
Adams JA, Farst KJ, Kellogg ND. J. Pediatr. Adolesc. Gynecol. 2018; 31(3): 225-231. |
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Affiliation |
Professor of Pediatrics, Chief; Division of Child Abuse, University of Texas Health Science Center, San Antonio. |
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Copyright |
(Copyright © 2018, North American Society for Pediatric and Adolescent Gynecology, Publisher Elsevier Publishing) |
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DOI |
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PMID |
29294380 |
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Abstract |
Most sexually abused children will not have signs of genital or anal injury, especially when examined non-acutely. A recent study found that only 2.2% (26/1160) of sexually abused girls examined non-acutely had diagnostic physical findings, while among those examined acutely, the prevalence of injuries was 21.4% (73/340). 1 It is important for health care professionals who examine children who may have been sexually abused to be able to recognize and interpret any physical signs or laboratory results that may be found. This review will summarize new data and recommendations concerning documentation of medical examinations, testing for sexually transmitted infections, interpretation of lesions caused by Human Papilloma Virus and Herpes Simplex Virus in children, and interpretation of physical examination findings. Updates to a table listing an approach to the interpretation of medical findings2 will be presented, and reasons for changes will be discussed. Language: en |