Welcome to this month’s What’s Your Diagnosis Challenge!
But before we begin, check to see if you got the previous case on Management of Patients With Juvenile Idiopathic Arthritis in the Emergency Department correct.
Case Presentation: Emergency Department Management of Pediatric Sexual Abuse
A 7-year-old boy is brought to the emergency department after he disclosed sexual abuse by his mother’s boyfriend…
- The child told his grandmother today that the boyfriend has been touching him in the genital area and has been asking him to engage in oral sex. The grandmother states she is concerned about the child because he has been having difficulty at school and has been more withdrawn the past 6 months after his mother’s boyfriend moved in with the family. The boyfriend is often alone with the child several evenings a week when his mother is working, most recently yesterday.
- The boy’s vital signs are unremarkable, and the child is engaged and interactive. The physical examination, including genital and rectal examination, is normal.
- What is the next step in management? What testing or treatment is indicated in this case? Whom do you need to notify?
Make your best guess, and check back next month for the case conclusion!
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