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Rape Crisis Syndrome

An-Hoa Giang, MD, MPH and Virginia J. Van Duyne, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Definitions (legal definitions vary from state to state)

    • Rape (which is a legal term, physicians should use the phrase “alleged sexual assault”): any sexual penetration, however sligh...

DIAGNOSIS

  • In adults

    • History of sexual penetration

    • Sexual contact/conduct without consent and/or with the use of force

  • In children

    • Actual observation/suspicion of sexual penetration, sexual contact, or sex...

TREATMENT

GENERAL MEASURES

  • Providing health care to victims of sexual assault/abuse requires special sensitivity and privacy.

  • All cases must be reported immediately to the appropriate law enforcement ag...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Patient should be seen in 7 to 10 days for follow-up care, including pregnancy testing and counseling.

  • Close exam for vaginitis and treatment if ...

REFERENCES

1
Nelson HD, Bougatsos C, Blazina I. Screening Women for Intimate Partner Violence and Elderly and Vulnerable Adults for Abuse: Systematic Review to Update the 2004 U.S. Preventive Services ...

ADDITIONAL READING

  • American College of Obstetricians and Gynecologists. Practice Bulletin No. 152: emergency contraception. Obstet Gynecol.  2015;126(3):e1–e11. [View Abstract on OvidMedline]

  • Basi...

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

ICD9

  • 995.83 Ad...

CLINICAL PEARLS

  • Rape is a legal term; the examining physician is encouraged to use terminology such as alleged sexual assault or alleged sexual conduct.

  • Use of a protocol is encouraged to assure every ...

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