Medical evaluation of suspected child and adolescent sexual abuse

Sexual abuse is a form of abuse. Children often have difficulty making the story and behavioral disorders are a common mode of revelation. Aggression of less than 3 days is a medical and forensic emergency. The examination should include a general physical examination and pelvic examination for traumatic injuries. Samples are oriented depending on the context, the type of attack and delay. In most cases, the examination is normal, which does not exclude the reality of sexual assault. Prescription of levonorgestrel and anti-HIV combination therapy should be discussed, as well as prevention of seroconversion to hepatitis B. The indication for hospitalization is assessed on a case-by-case basis. (C) 2014 Elsevier Masson SAS. All rights reserved.