BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 披露不适当的接触
  • 急性生殖器创伤(变化);处女膜横断或缺失(儿童)
  • HIV感染

其他诊断因素

  • 生殖器检查的结果一般是正常的
  • 抑郁
  • 生殖器检查的结果一般是正常的
  • 抑郁

危险因素

  • 家里的其他孩子被性虐待
  • 青少年和年轻女性
  • 残疾人群
  • 贫困和无家可归人群

诊断性检查

首要检查

  • 法医学标本
  • 淋病奈瑟菌培养
  • 沙眼衣原体培养
  • 沙眼衣原体和淋病奈瑟菌核酸扩增检测
全部具体信息

需要考虑的检查

  • 艾滋病确诊检测
  • 艾滋病病毒核酸扩增检测
  • 梅毒螺旋体血凝集试验用于检验梅毒
  • 梅毒快速血浆反应素试验
全部具体信息

治疗流程

贡献者

Associate Professor

Department of Pediatrics

Division of Child Protection Pediatrics

University of Texas Medical School at Houston

Houston

TX

利益冲突披露
SL declares that she has no competing interests.

Associate Professor

Department of Pediatrics

Division of Child Protection Pediatrics

University of Texas Medical School at Houston

Houston

TX

利益冲突披露
RG declares that she has no competing interests.

Child Abuse Pediatrics Fellow

Department of Pediatrics

Division of Child Protection Pediatrics

University of Texas Medical School at Houston

Houston

TX

利益冲突披露
SG declares that she has no competing interests.

Child Abuse Pediatrics Fellow

Department of Pediatrics

Division of Child Protection Pediatrics

University of Texas Medical School at Houston

Houston

TX

利益冲突披露
MR declares that she has no competing interests.

Professor

Department of Pediatrics

Division of Community and General Medicine

University of Texas Medical School at Houston

Houston

TX

利益冲突披露
MM declares that she has no competing interests.

Dr Sheela Lahoti, Dr Rebecca Girardet, Dr Shaina Groisberg, Dr Michelle Ruda, and Dr Margaret McNeese would like to gratefully acknowledge Zoe O'Connor, a medical student from the University of Texas Medical School, for her contribution to this topic, and Dr Christopher Greeley and Dr Jan Welch, previous contributors to this monograph. CG and JW declare that they have no competing interests.

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Professor of Pediatrics

Child Abuse Division

Department of Pediatrics

University of Texas Health Science Center

San Antonio

TX

利益冲突披露
JL declares that he has no competing interests.

Medical Director

CHKD-CAP

Professor of Pediatrics

Eastern Virginia Medical School

Norfolk

VA

利益冲突披露
SS is an author of a reference cited in this monograph. SS declares that she has no other competing interests.

Clinical Associate Professor

Pediatrics

Baylor College of Medicine

Medical Director

Texas Children's Health Plan

Houston

TX

利益冲突披露
APG declares that he has no competing interests.

Professor of Clinical Epidemiology

UCL-Institute of Child Health

London

UK

利益冲突披露
RG declares that she has no competing interests.

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