You are here : health.am > Clinical Obstetrics and Gynecology > Sexual Abuse in Prepubertal Children and Adolescents Sexual Abuse in Prepubertal Children and Adolescents Child sexual abuse Differential Diagnosis • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 Child sexual abuse Differential Diagnosis Beside the normal findings, normal variants and unspecific findings, there are a number of important differential diagnoses to consider when evaluating children with abnormal anogenital findings… Anogenital Findings • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 Normal Findings – Anatomy and Terminology For professionals involved in the evaluation of children for possible sexual abuse, it is crucial to develop a thorough understanding of the appearance of the anogenital anatomy both… Child sexual abuse Overall Assessment • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 In spite of an abundance of data on medical findings in CSA victims and their differentiation from normal, normal variants and other differential diagnoses, the medical proof of abuse remains the exception… Sexually Transmitted Diseases • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 Sexually transmitted diseases (STD) are discussed in a different sections of this site. We only refer to a few important characteristics with regard to CSA. STD may be the only medical indicator of sexual… Extragenital Signs of Sexual Abuse • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 Extragenital Signs of Sexual Abuse Those signs are infrequent and rather seen in the context of rape: hematomas and bite marks in the so-called erogenous zones, especially the inner thighs, breasts,… Forensic Evidence Collection and Interpretation - Child sexual abuse • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 Forensic Evidence Collection and Interpretation Forensic evidence is infrequently found in CSA cases due to reasons discussed earlier (delayed disclosure, etc.). However, in selected cases the medical… Physical Examination - Child sexual abuse • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 Physical Examination - Child sexual abuse The preparation and conduct of the physical examination of sexually abused children requires ‘time, patience and a gentle manner…’ [Horowitz, 1987]. Appropriate timing of… Child sexual abuse History • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 History-taking should avoid further trauma to the child and still gain a maximum of information. Depending on a possible previous historical evaluation it is not always necessary to repeat questioning on all details… Potentials and Limitations of the Medical Approach - Child sexual abuse • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 Potentials and Limitations of the Medical Approach - Child sexual abuse As a normal physical examination is frequent in victims of CSA, the forensic aspect… General Considerations on Medical Aspects of Child sexual abuse • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 General Considerations on Medical Aspects of Child sexual abuse The majority of abused children show no physical evidence. The frequency of normal findings varies from 23 to… General Considerations on Child sexual abuse • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 General Considerations on Child sexual abuse Although there is no universal definition, sexual abuse is generally defined as the involvement of developmentally immature children or adolescents in sexual activities that… Sexual Abuse in Prepubertal Children and Adolescents • Sexual Abuse in Prepubertal Children and Adolescents • Sep 08 06 Bernhard Herrmanna, Francesca Navratil b aChild Protection Center, Kinderklinik des Klinikums (Pediatric Department, Klinikum Kassel), Kassel, Germany, and bPediatric and Adolescent Gynecology Outpatient Department, Child… Page 1 of 1 pages << Back to main Please enable JavaScript to view the comments powered by Disqus.
