Differential Diagnosis in Pediatric Sexual Assault: Looking for the Zebra

Due to the well documented acute and long term negative health consequences associated with child sexual abuse, the medical forensic examination is an integral component of the coordinated community response to child sexual abuse.   Timely, comprehensive exams, by pediatric examiners who are specifically trained in pediatric sexual abuse, should be made available to all children who are suspected of or disclose sexual abuse.   When the examination findings are normal, this does not confirm nor rule out abuse, and the clinician needs to explain this to the non-offending caregiver and MDT partners.  Additionally, sexual abuse of the child is distinct due to their dependence on their caregivers, and the ability of the perpetrators to manipulate the child and prevent them from disclosing.  

Presented by: Diane Daiber, BSN, RN, SANE-A, SANE-P & Kim Nash, BSN, RN, SANE-A, SANE-P

The opinions, findings, conclusions, and recommendations expressed in this webinar are those of the author(s) and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women.

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