Interpretation of Medical Findings in Suspected Child Sexual Abuse: An Update for 2018
From the abstract: Most sexually abused children will not have signs of genital or anal injury, especially when examined nonacutely. It is important for health care professionals who examine children who might have been sexually abused to be able to recognize and interpret any physical signs or laboratory results that might be found. In this review, we summarize new data and recommendations concerning documentation of medical examinations, testing for sexually transmitted infections, interpretation of lesions caused by human papillomavirus and herpes simplex virus in children, and interpretation of physical examination findings. Updates to a table listing an approach to the interpretation of medical findings is presented, and reasons for changes are discussed.

Updated Guidelines for the Medical Assessment and Care of Children Who May Have Been Sexually Abused
The Midwest Regional CAC is honored to have been involved in the preparation and publication of this important manuscript in the Journal of Pediatric and Adolescent Gynecology.
From the abstract: The medical evaluation is an important part of the clinical and legal process when child sexual abuse is suspected. Practitioners who examine children need to be up to date on current recommendations regarding when, how, and by whom these evaluations should be conducted, as well as how the medical findings should be interpreted. A previously published article on guidelines for medical care for sexually abused children has been widely used by physicians, nurses, and nurse practitioners to inform practice in this field. Since 2007, when the paper was published, new research has suggested changes in some of the guidelines and in the table that lists medical and laboratory findings in children evaluated for suspected sexual abuse and suggests how these findings should be interpreted with respect to sexual abuse.