Abstract
When a child makes a disclosure of acute sexual assault, the need for a timely evaluation becomes paramount. In this situation, the responsibility of the examiner becomes twofold: (1) ensuring appropriate medical care is provided for the child and (2) collection of forensic evidence to assist with investigation of the child’s disclosure. The primary focus of the examiner should be to perform a trauma-informed, victim-centered evaluation of the child, which is developmentally appropriate to individual child’s needs. The examiner should be able to obtain any necessary history, perform a thorough physical examination, determine what laboratory evaluation may be indicated, and address any medical or psychological needs which may be identified.
This chapter will focus on the medical and forensic components of the acute sexual assault evaluation of prepubertal children, including the collection of historical, physical, and forensic evidence; laboratory evaluation; interpretation of findings; and medical management considerations for this patient population.
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Shipman, A., Scaff, D., Elverum, C., Clayton, M. (2020). Acute Sexual Assault Evaluation of the Prepubertal Child. In: Geffner, R., White, J.W., Hamberger, L.K., Rosenbaum, A., Vaughan-Eden, V., Vieth, V.I. (eds) Handbook of Interpersonal Violence and Abuse Across the Lifespan. Springer, Cham. https://doi.org/10.1007/978-3-319-62122-7_121-1
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