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Evaluating the Child for Sexual Abuse

Uploader: Dilkis 1 years ago  
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56% 15 votes


Cultures of the vaginal discharge were obtained, and the child was discharged from the PED with instructions to follow up with her pediatrician if the discharge persisted. Each child had a discharge positive for a sexually transmitted infection despite no disclosure or allegation of abuse. In addition, a whitish foreign body, which appeared to be a wad of toilet tissue, was visualized and extracted from the vagina. The catheter is inserted into the vagina, the balloon is inflated and, with mild retraction, the hymen is stretched Figure 5. The physician should examine the penis, testicles and perineum for bite marks, abrasions, bruising or suction ecchymoses.

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