Medical Evaluation of Sexually Abused Children: A Review of 311 Cases

Abstract
The case records of 311 children and adolescents who were medically evaluated for sexual abuse are reviewed. Only 18% of these victims were assaulted by strangers; 131 of the assailants were relatives. Of the victims 30% reported multiple assaults over a time period of 1 wk to 9 yr. Physical examination showed no abnormalities in only 23% of the patients. Twenty-one patients had gonorrhea and 7 patients were pregnant. Guidelines for the medical evaluation of patients suspected to be victims of sexual abuse are discussed.

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