Conducting the Medical History

Abstract

A key portion of the medical evaluation of child sexual abuse is the medical history. This differs from interviews or histories obtained by other professionals in that it is focuses more on the health and well-being of the child. Careful questions should be asked about all aspects of the child's medical history by a skilled, compassionate, nonjudgmental, and objective clinician. Often the diagnosis of sexual abuse is based only on the medical history. The history can be further understood by knowledge of how children are abused and their reactions to it. By addressing the child's and parent's concerns, reassurance can also be provided about what is normal and abnormal with the child's body.

Keywords:

• medical history
• medical interview
• timing of examination
• legal issues with medical history
• health focus

Additional information

Notes on contributors

Martin A. Finkel

Martin A. Finkel, DO, is a professor of pediatrics and founding medical director of the Child Abuse Research Education and Service (CARES) Institute at the University of Medicine & Dentistry of New Jersey-School of Osteopathic Medicine.

Randell A. Alexander

Randell A. Alexander, MD, PhD, is a professor of pediatrics, chief of the Division of Child Protection and Forensic Pediatrics, and the statewide medical director for the Florida system of Child Protection Teams.