Paeds Vivas · child-safety-and-social-paediatrics
Child sexual abuse and assault assessment — branching viva
Branching viva on the tempo of the assessment, the normal examination, finding interpretation against the Adams consensus, the acute bundle with time-limited elements, and the confidentiality and reporting duties.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in the emergency department. The examiner will move from triage and tempo, to the normal examination, to finding interpretation, to the acute adolescent bundle, and to a confidentiality and reporting dilemma.
Stem
The examiner will test whether you can defend the tempo of the assessment, the meaning of a normal examination, the interpretation of specific findings, and the acute bundle — all under pressure. [1] [2]
References4ShowHide
- [1]Adams JA, Kellogg ND, Farst KJ, Harper NS, Palusci VJ, Frasier LD Updated Guidelines for the Medical Assessment and Care of Children Who May Have Been Sexually Abused. Journal of Pediatric and Adolescent Gynecology, 2016.PMID 26220352
- [2]Adams JA, Harper K, Knudson S, Revilla J Examination findings in legally confirmed child sexual abuse: it's normal to be normal. Pediatrics, 1994.PMID 8065856
- [3]Workowski KA, Bachmann LH, Chan PA Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recommendations and Reports, 2021.PMID 34292926
- [4]Lamb ME, Orbach Y, Hershkowitz I, Esplin PW, Horowitz D A structured forensic interview protocol improves the quality and informativeness of investigative interviews with children: a review of research using the NICHD Investigative Interview Protocol. Child Abuse & Neglect, 2007.PMID 18023872