A young male child was referred for evaluation of sexual abuse

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Presentation transcript:

A young male child was referred for evaluation of sexual abuse A young male child was referred for evaluation of sexual abuse. He had a history of constipation associated with painful defecation. A rectal culture was positive for GABHS. (Photo contributor: Binita R. Shah, MD.) Source: Chapter 2. Conditions Mistaken for Child Abuse and Sexual Abuse, Atlas of Pediatric Emergency Medicine, 2e Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: http://accessemergencymedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/shah2/shah2_c002f035.png&sec=42532753&BookID=577&ChapterSecID=42532488&imagename= Accessed: December 29, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved