Evaluation of the Sexually Abused Child: A Medical Textbook and Photographic Atlas / Edition 2

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Written by a group of nationally-recognized physicians, Evaluation of the Sexually Abused Child, 2E is a comprehensive and authoritative resource that provides a step-by-step discussion of how to interview and clinically evaluate suspected child sexual abuse cases. The contributors draw on their extensive experience to provide sensitive and practical guidance on psychological aspects of abuse, conducting the medical interview and physical exam to make a diagnosis, sexually transmitted disease, and the role of the physician in court. This new edition includes updated information on lab techniques, revised protocols for intervention programs, and a host of new data from several recently released longitudinal studies that followed abused children into adolescence and adulthood. A key feature of the first edition, a photographic atlas documenting and classifying ambiguous signs of abuse, has been expanded by more than 40% to incorporate new photos on the sexual abuse of adolescents, patterns of healing trauma, and additional examples of normal variations and medical conditions.

The book contains predominantly color illustrations, with some black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Naomi F. Sugar, MD (Harborview Medical Center)
Description: This extensive revision of the 1992 publication on evaulatuion of the sexually abused child is 80 pages longer and includes an expanded photographic atlas and a CD-ROM.
Purpose: This book is intended as a reference for evaluation of children and adolescents when there is concern about sexual abuse, as well as a guide to genital/anal normal/variants
Audience: Written for medical professionals, this book will be most useful to primary care and emergency medical providers and for specialists in child abuse.
Features: The first chapters discuss the broad social issues of child sexual abuse, including its psychological effects, the use of multidisciplinary teams and the workings of the government child protection system. Technical chapters focus on interviewing, forensic evidence collection, physical examination, and sexually transmitted diseases in children. The last chapter is directed towards the medical clinician testifying as an expert witness. The most original aspect of this text is the interactive CD-ROM that is included with the book. The CD-ROM has four sections, beginning with the complete text and images from the book. Following are 28 "Interactive Clinical Consultations" which require the user to choose tentative diagnoses, laboratory tests, and treatment. These cases are linked to text about the medical diagnoses. The third section, "Interactive Case Studies," requires the user to collect needed information and then write a forensic report. The fourth section presents 30 brief case histories for visual diagnosis of normal and traumatic findings and other pathology. Much of the medical information on the CD-ROM is not included in the text. The book suffers from poor copyediting: 65 pages of photographs are not numbered, complicating finding the photograph of an indexed condition.
Assessment: Despite these limitations, this book is the most extensive reference on this subject. The combination of a reference text, photographic atlas, and a computer program for training is valuable for all primary care and emergency medical providers who wish to increase their expertise in pediatric gynecology and diagnosing abuse. Residents will find the CD-ROM an excellent study aid. Emergency departments and training settings for pediatrics, family practice, and emergency medicine should make room on their shelves for this reference. Clinicians who evaluate abused children will often refer to this essential volume.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780195131260
  • Publisher: Oxford University Press, USA
  • Publication date: 11/28/2000
  • Edition description: Subsequent
  • Edition number: 2
  • Pages: 416
  • Product dimensions: 9.80 (w) x 6.80 (h) x 1.00 (d)

Table of Contents

1 Making the Diagnosis of Sexual Abuse: Ten Years Later 1
2 The Child Protection System 11
3 Psychological Effects of Child Sexual Abuse 21
4 The Medical Interview 41
5 Physical Examination of the Child and Adolescent 57
6 Forensic Examination: The Role of the Physician as "Medical Detective" 79
7 Anatomy 95
Embryology of the Genital Tract 95
Anatomic and Physiologic Changes 105
Anatomical Terms of Female External Genitalia 109
8 Photographic Atlas 115
Normal Genitalia 115
Examination Positions and Techniques 116
Congenital Variants 116
Nonspecific Changes 117
Anatomic Variations and Medical Conditions: Diagnostic Challenges 117
Acute Genital Trauma - Accidental 119
Female Genital Mutilation 119
Acute Genital Trauma - Sexual Abuse 119
Sexual Abuse - Delayed Disclosure 120
Normal Ani and Nonspecific Changes 120
Anal Trauma and Healing 121
Adolescents 121
Sexually Transmitted Diseases 122
9 Sexually Transmitted Diseases 187
10 Testifying as an Expert Witness 225
Glossary 241
Annotated Bibliography, 1992-1998 245
App. A State of California Sexual Abuse Protocol 269
App. B Memphis, TN Sexual Abuse Protocol 275
App. C Commonwealth of MA Sexual Abuse Protocol 281
App. D Pilot Sexual Abuse Protocol, Children's Hospital, Boston 288
App. E Preappointment Questionnarie, University of California, Irvine 300
App. F American Professional Society on the Abuse of Children - Practice Guidelines: Descriptive Terminology in Child Sexual Abuse Medical Evaluations 302
Index 309
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