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Rape Crisis Syndrome

Elizabeth Ashley Suniega, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Definitions (vary by jurisdiction on local, state, and national levels):

    • Rape (a legal term), sexual assault (a medical term), or sexual violence (a general term): any form of sexual ...

DIAGNOSIS

  • History and/or objective physical exam findings concerning for, sexual violence

  • The PTSD Checklist for DSM-5 (PCL-5) is a clinically useful screening tool for PTSD, and 86% sensitive and 63% ...

TREATMENT

GENERAL MEASURES

  • Employ enhanced sensitivity and privacy measures, as well as a trauma-informed care approach.

  • All cases of sexual violence must be reported immediately to the appropriate law ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Patients should be frequently evaluated for follow-up medical care: 1) 1-2 weeks: pregnancy re-testing and counseling, gonorrhea and chlamydia r...

REFERENCES

1
Nelson  HD, Bougatsos  C, Blazina  I. Screening Women for Intimate Partner Violence and Elderly and Vulnerable Adults for Abuse: Systematic...

CODES

ICD10

  • T74.21XA Adult sexual abuse, confirmed, initial encounter

  • T74.22XA Child sexual abuse, confirmed, initial encounter

  • Z04.41 Encounter for exam and obs following alleged adult rape

SNOMED

  • 5423100...

CLINICAL PEARLS

  • Employ enhanced sensitivity and privacy measures, as well as a trauma-informed care approach, when providing care.

  • All cases of sexual violence must be reported immediately to the appro...

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