Genital examination under ketamine sedation in cases of suspected sexual abuse.

Rogers, RandY; Murdoch, Linda

doi:10.1136/adc.71.5.481

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…General anesthesia is usually required in cases of acute bleeding anogenital injuries (Harari 1994, Rogers 1994, Sury 1994, Hogan 1996, Leventhal 1998. The child should be given as much choices as possible in the procedure to ensure a sense of control.…”

Section: Physical Examinationmentioning

confidence: 99%

Sexual Abuse in Prepubertal Children and Adolescents

Herrmann

Navratil

2012

Pediatric and Adolescent Gynecology

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Medical involvement in the diagnosis and treatment of child sexual abuse (CSA) has a well-defined role within a multidisciplinary concept. Due to the increasingly high rate of normal anogenital findings in victims of CSA, forensic aspects are of limited value in establishing the diagnosis. In selected cases however, medical findings may play an important role in corroborating a child's history. Correct evaluation of normal and abnormal findings, normal variations and several differential diagnoses requires sound knowledge in pediatric gynecology. In some cases, physical consequences of CSA (injuries, infections, and pregnancy) need to be diagnosed and treated (prevented) accordingly. The majority of abused children have an altered and distorted body image. It is of paramount importance to reassure the child that its body is normal, physically undamaged, intact or that it will heal ('primary therapeutic aspect of the medical examination'). Thus, the medical examination has an enormous potential to incorporate a therapeutic message into the diagnostic procedure if performed in a qualified and sensitive manner. By communicating with the psychosocial und jurisdictional systems, physicians may initiate proper child protection and therapy. Therefore, medical evaluation of sexually abused children must always be integrated into a multiprofessional concept of child protection.

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