features where sexual abuse should be suspected - to suspect child maltreatment means a serious level of concern about the possibility of child maltreatment but is not proof of it
sexual abuse should be suspected if a girl or boy has a genital, anal or perianal injury (as evidenced by bruising, laceration, swelling or abrasion) and the explanation is absent or unsuitable
sexual abuse should be suspected if a girl or boy has a persistent or recurrent genital or anal symptom (for example, bleeding or discharge) that is associated with behavioural or emotional change and that has no medical explanation
sexual abuse should be suspected if a girl or boy has an anal fissure, and constipation, Crohn's disease and passing hard stools have been excluded as the cause
features where sexual abuse should be considered - to consider child maltreatreatment means that one possible explanation for the alerting feature or is included in the differential diagnosis
sexual abuse should be considered if a gaping anus in a girl or boy is observed during an examination and there is no medical explanation (for example, a neurological disorder or severe constipation)
sexual abuse should be considered if a girl or boy has a genital or anal symptom (for example, bleeding or discharge) without a medical explanation
sexual abuse should be considered if a girl or boy has dysuria (discomfort on passing urine) or ano-genital discomfort that is persistent or recurrent and does not have a medical explanation (for example, worms, urinary infection, skin conditions, poor hygiene or known allergies)
sexual abuse should be considered if there is evidence of one or more foreign bodies in the vagina or anus. Foreign bodies in the vagina may be indicated by offensive vaginal discharge
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.