title: The sexually misused child.
abstract: This paper, based on a study of pediatric emergency room records and on clinical experience, suggests that sexual misuse of children often goes unrecognized, and that this diagnosis must be considered in all children seen for genital injury, irritation, and infection. It is concluded that sexual misuse is most often a symptom of family dysfunction; preliminary guidelines for case management are offered.
mesh_terms: D000293:Adolescent; D002648:Child; D002649:Child Abuse; D002653:Child Behavior Disorders / Q000175:diagnosis; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005196:Family Therapy; D005260:Female; D005581:Foster Home Care; D006716:Homosexuality; D006776:Hospitals, Pediatric; D006801:Humans; D007179:Incest; D008297:Male; D008404:Massachusetts; D011247:Pregnancy; D011902:Rape; D012189:Retrospective Studies; D012742:Sex Offenses; D014570:Urologic Diseases / Q000175:diagnosis