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Rape Crisis Syndrome

Elizabeth Ashley Suniega, MD Reviewed 06/2020
 


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

Subjective history of, and/or objective physical exam findings concerning for, sexual violence 
  • The PTSD Checklist for DSM-5 (PCL-5) is useful for PTSD, and 86% sensitive and 63% specific

HISTORY

TREATMENT

GENERAL MEASURES

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

  • With a victim’s permission, enlist the help of personnel from local support...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Patients should be re-evaluated in 7–10 days for care (including pregnancy re-testing and counseling)with gonorrhea & chlamydia at 1-2 weesk...

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

SEE ALSO

Chlamydia Infection (Sexually Transmitted); Domestic Violence; Gonococcal Infections; Hepatitis B; HIV/AIDS; HPV; Post-Traumatic Stress Disorder (PTSD); Sexual Violence (SV)...

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...

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