title: Medical evaluation of sexually abused children: a review of 311 cases.
abstract: The case records of 311 children and adolescents who were medically evaluated for sexual abuse are reviewed. Only 18% of these victims were assaulted by strangers; 131 of the assailants were relatives. Thirty percent of the victims reported multiple assaults over a time period of one week to nine years. Physical examination showed no abnormalities in only 23% of the patients. Twenty-one patients had gonorrhea and seven patients were pregnant. Guidelines for the medical evaluation of patients suspected to be victims of sexual abuse are discussed.
mesh_terms: D000293:Adolescent; D001130:Arizona; D002648:Child; D002649:Child Abuse; D002675:Child, Preschool; D004054:Diethylstilbestrol / Q000627:therapeutic use; D005220:Fathers; D005260:Female; D005835:Genitalia / Q000293:injuries; D006069:Gonorrhea / Q000453:epidemiology; D006801:Humans; D007223:Infant; D008297:Male; D010808:Physical Examination; D011247:Pregnancy; D012189:Retrospective Studies; D012742:Sex Offenses
chemical_list: D004054:Diethylstilbestrol