PEM Source

Your source for all things Pediatric Emergency Medicine


Question: Abuse

(Click the link to comment and to vote – voting not working through email, sorry!)

Which of the following findings in a prepubertal girl is very concerning for child sexual abuse (given no disclosure or other reason for concern)?

pemsou5_wp • March 31, 2020

Previous Post

Next Post


  1. Kelly March 31, 2020 - 10:46 pm Reply

    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).

Leave a Reply

Your email address will not be published / Required fields are marked *