1 Question: Abuse (Click the link to comment and to vote – voting not working through email, sorry!) Anonymous VoteSign in with WordPressWhich of the following findings in a prepubertal girl is very concerning for child sexual abuse (given no disclosure or other reason for concern)?A) Perianal skin tagB) Notch or cleft in hymen above the 3 and 9 o’clock locationC) Smooth posterior rim of hymen that appears narrow along the entire rim (appearance of enlarged vaginal opening)D) All of the aboveE) None of the abovevote×Username or Email AddressPasswordLog In AbuseGU pemsou5_wp • March 31, 2020 ↞ Previous PostHand exam: nerves Next Post ↠Question: Cardiology
Kelly March 31, 2020 - 10:46 pm
E) None of the above
Most sexually abused children will not have physical exam findings, particularly if they are not examined acutely. Examination is best done by a child abuse expert, and photo or video with a magnifying colposcope can be helpful. All of the findings listed are commonly seen in nonabused children / can be normal variants (Adams JA, Farst KJ, Kellogg ND. Interpretation of medical findings in suspected child sexual abuse: an update for 2018. J Pediatr Adolesc Gynecol 2018;31:225-231).