Evaluating child sexual abuse in the emergency department: clinical and behavioral indicators.
Child sexual abuse is an increasingly common problem. This article reviews the current clinical and behavioral indicators that will aid the emergency physician when evaluating and managing this condition. The most common differential diagnoses are described and a general approach to this diagnosis is suggested. Adopting a multidisciplinary method when evaluating this problem will lessen the anxiety facing the examining physician and provide a better outcome for the child, parents, and community.
Medical College of Wisconsin, Department of Pediatrics, Milwaukee 53226, USA. nkini@post.its.mcw.edu
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Brady
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Lazoritz
D001003:Anal Canal / Q000293:injuries; D002648:Child; D002650:Child Abuse, Sexual / Q000175:diagnosis*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004635:Emergency Medicine / Q000379:methods*; D005260:Female; D005554:Forensic Medicine / Q000379:methods; D005835:Genitalia / Q000293:injuries; D006801:Humans; D007407:Interviews as Topic / Q000379:methods; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration; D010808:Physical Examination / Q000379:methods / Q000523:psychology; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis; D012749:Sexually Transmitted Diseases / Q000175:diagnosis; D013048:Specimen Handling / Q000379:methods