Sexual Assault Differential Diagnoses

1. Russell BL, Oswald DL, Kraus SW. Evaluations of sexual assault: perceptions of guilt and legal elements for male and female aggressors using various coercive strategies. Violence Vict. 2011. 26(6):799-815. [QxMD MEDLINE Link].

2. Morgan, Rachel E. and Grace Kena. Criminal Victimization, 2016: Revised. Bureau of Justice Statistics. October 2018. Available at https://www.bjs.gov/content/pub/pdf/cv16re.pdf.

3. Smith, S.G., Chen, J., Basile, K.C., et al. The National Intimate Partner and Sexual Violence Survey (NISVS): 2010-2012 State Report. National Center for Injury Prevention and Control of the Centers for Disease Control and Prevention. 2017. Available at https://www.cdc.gov/violenceprevention/pdf/NISVS-StateReportBook.pdf.

4. Ahrens CE, Aldana E. The ties that bind: understanding the impact of sexual assault disclosure on survivors' relationships with friends, family, and partners. J Trauma Dissociation. 2012 Mar. 13(2):226-43. [QxMD MEDLINE Link].

5. Breiding MJ, Smith SG, Basile KC, et al. Prevalence and characteristics of sexual violence, stalking, and intimate partner violence victimization – National intimate partner and sexual violence survey, United States, 2011. MMWR Surveillance Summaries. 2014 September. 63(8):1-18. [QxMD MEDLINE Link]. [Full Text].

6. Avegno J, Mills TJ, Mills LD. Sexual assault victims in the emergency department: analysis by demographic and event characteristics. J Emerg Med. 2009 Oct. 37(3):328-34. [QxMD MEDLINE Link].

7. Luce H, Schrager S, Gilchrist V. Sexual assault of women. Am Fam Physician. 2010 Feb 15. 81(4):489-95. [QxMD MEDLINE Link].

8. Kann L, McManus T, Harris WA, et al.,. Youth Risk Behavior Surveillance - United States, 2015. Morbidity and Mortality Weekly Report Surveillance Summaries. 2016 June. 65 (6):1-174. [QxMD MEDLINE Link].

9. Jones JS, Rossman L, Diegel R, Van Order P, Wynn BN. Sexual assault in postmenopausal women: epidemiology and patterns of genital injury. Am J Emerg Med. 2009 Oct. 27(8):922-9. [QxMD MEDLINE Link].

10. Cunningham N. Sexual assault consultations - from high risk to high reliability. J Forensic Leg Med. 2012 Feb. 19(2):53-9. [QxMD MEDLINE Link].

11. [Guideline] Branson BM, Handsfield HH, Lampe MA, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recomm Rep. 2006 Sep 22. 55:1-17; quiz CE1-4. [QxMD MEDLINE Link].

12. Chacko L, Ford N, Sbaiti M, Siddiqui R. Adherence to HIV post-exposure prophylaxis in victims of sexual assault: a systematic review and meta-analysis. Sex Transm Infect. 2012 Feb 13. [QxMD MEDLINE Link].

13. Workowski KA, Bolan GA, Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015 Jun 5. 64 (RR-03):1-137. [QxMD MEDLINE Link].

14. [Guideline] Dominguez, Kenneth L. ; Smith, Dawn K; Vasavi Thomas et. al. Updated guidelines for antiretroviral postexposure prophylaxis after sexual, injection drug use, or other nonoccupational exposure to HIV—United States, 2016. Centers for Disease Control and Prevention. Available at http://www.cdc.gov/std/tg2015/default.htm. 2016 Apr 18; Accessed: November 9, 2018.

15. [Guideline] Christiana Care Health System. GU: Sexual Assault STD Prophylaxis. Levine, Brian J. EMRA Antibiotic Guide. 17th. Irving, TX: EMRA; 2017. 50-51.

16. Meites E, Kempe A, Markowitz LE. Use of a 2-Dose Schedule for Human Papillomavirus Vaccination — Updated Recommendations of the Advisory Committee on Immunization Practices. MMWR Morb Mortal Wkly Rep. 2016. 65:1405-1508. [Full Text].

17. Haeger KO, Lamme J, Cleland K. State of emergency contraception in the U.S., 2018. Contracept Reprod Med. 2018 Sep 5. 3:20:[QxMD MEDLINE Link].

18. [Guideline] New York State Department of Health Aids Institute. HIV prophylaxis for victims of sexual assault. HIV Clinical Resource. Available at http://www.hivguidelines.org/wp-content/uploads/2014/10/hiv-prophylaxis-for-victims-of-sexual-assault.pdfxis-following-non-occupational-exposure.pdf. October 28, 2014; Accessed: November 10, 2015.

19. Office on Violence Against Women. National Protocol for Sexual Assault Medical Forensic Examinations (Adults/Adolescents), 2nd ed. US Dept of Justice. Apr 2013. Available at https://www.ncjrs.gov/pdffiles1/ovw/241903.pdf. Accessed: May 8 2013.

20. Herman AO. Updated Guidelines Issued for Medical Exams in Cases of Sexual Assault. Physician’s First Watch. Apr 26 2013. Available at http://firstwatch.jwatch.org/cgi/content/full/2013/426/1. Accessed: May 8 2013.

21. US Dept of Justice. Justice Department Releases Updated Protocol To Improve Standards for Responding to Rape and Sexual Assault. Apr 24 2013. Available at http://www.justice.gov/opa/pr/2013/April/13-ag-466.html. Accessed: May 8 2013.

22. Braun GR. Sexual assault. Emergency Medicine: Concepts and Clinical Practice. 3rd ed. St. Louis: Mosby-Year Book; 1992. 2003-12.

23. Ciancone AC, Wilson C, Collette R, et al. Sexual Assault Nurse Examiner programs in the United States. Ann Emerg Med. 2000 Apr. 35(4):353-7. [QxMD MEDLINE Link].

24. da Silva DA, Goes AC, de Carvalho JJ, de Carvalho EF. DNA typing from vaginal smear slides in suspected rape cases. Sao Paulo Med J. 2004 Mar 4. 122(2):70-2. [QxMD MEDLINE Link].

25. Das S, Huengsberg M. An audit on the management of female victims of sexual assault attending a genitourinary medicine clinic. Int J STD AIDS. 2004 Jul. 15(7):484-5. [QxMD MEDLINE Link].

26. Elliott DM, Mok DS, Briere J. Adult sexual assault: prevalence, symptomatology, and sex differences in the general population. J Trauma Stress. 2004 Jun. 17(3):203-11. [QxMD MEDLINE Link].

27. Ernst AA, Green E, Ferguson MT, et al. The utility of anoscopy and colposcopy in the evaluation of male sexual assault victims. Ann Emerg Med. 2000 Nov. 36(5):432-7. [QxMD MEDLINE Link].

28. Higgins SD, Schwartz GR. The sexually assaulted patient. Sexual assault evidence collection protocol, Office of the Attorney General. Principles and Practice of Emergency Medicine. 3rd ed. Williams & Wilkins; 1992. 2418-31.

29. Humphrey JA, White JW. Womens' vulnerability to sexual assault from adolescence to young adulthood. J Adolesc Health. 2000 Dec. 27(6):419-24. [QxMD MEDLINE Link].

30. Jones JS, Dunnuck C, Rossman L, et al. Significance of toluidine blue positive findings after speculum examination for sexual assault. Am J Emerg Med. 2004 May. 22(3):201-3. [QxMD MEDLINE Link].

31. Kenworthy T, Adams CE, Bilby C, et al. Psychological interventions for those who have sexually offended or are at risk of offending. Cochrane Database Syst Rev. 2004. CD004858. [QxMD MEDLINE Link].

32. Kintz P, Villain M, Ludes B. Testing for the undetectable in drug-facilitated sexual assault using hair analyzed by tandem mass spectrometry as evidence. Ther Drug Monit. 2004 Apr. 26(2):211-4. [QxMD MEDLINE Link].

33. Linden JA, Oldeg P, Mehta SD, et al. HIV postexposure prophylaxis in sexual assault: current practice and patient adherence to treatment recommendations in a large urban teaching hospital. Acad Emerg Med. 2005 Jul. 12(7):640-6. [QxMD MEDLINE Link].

34. Littel, K. Sexual Assault Nurse Examiner (SANE) Programs: Improving the Community Response to Sexual Assault Victims. US Department of Justice, Office of Justice Programs, Office for Victims of Crime. April 2001. Available at http://www.ojp.usdoj.gov/ovc/publications/bulletins/sane_4_2001/welcome.html.

35. Mancino P, Parlavecchio E, Melluso J, et al. Introducing colposcopy and vulvovaginoscopy as routine examinations for victims of sexual assault. Clin Exp Obstet Gynecol. 2003. 30(1):40-2. [QxMD MEDLINE Link].

36. Rand M, Catalano S. Criminal Victimization, 2006. U.S. Department of Justice, Bureau of Justice Statistics. Dec 2007. Available at http://www.ojp.usdoj.gov/bjs/abstract/cv06.htm.

37. Reznic MF, Nachman R, Hiss J. Penile lesions -- reinforcing the case against suspects of sexual assault. J Clin Forensic Med. 2004 Apr. 11(2):78-81. [QxMD MEDLINE Link].

38. Sachs CJ. How To Convict A Rapist: Sexual Assault Response Teams. ACEP Scientific Assembly Proceedings. 1999.

39. Sievers V, Murphy S, Miller JJ. Sexual assault evidence collection more accurate when completed by sexual assault nurse examiners: Colorado's experience. J Emerg Nurs. 2003 Dec. 29(6):511-4. [QxMD MEDLINE Link].

40. Stermac L, Del Bove G, Addison M. Stranger and acquaintance sexual assault of adult males. J Interpers Violence. 2004 Aug. 19(8):901-15. [QxMD MEDLINE Link].

41. Testa M, Vanzile-Tamsen C, Livingston JA. The role of victim and perpetrator intoxication on sexual assault outcomes. J Stud Alcohol. 2004 May. 65(3):320-9. [QxMD MEDLINE Link].

Marian Sackey, MD Resident Physician, Department of Emergency Medicine, Louisiana State University School of Medicine in New Orleans

Marian Sackey, MD is a member of the following medical societies: American College of Emergency Physicians, American Medical Association, Emergency Medicine Residents' Association, Student National Medical Association

Disclosure: Nothing to disclose.

Heather Murphy-Lavoie, MD, FAAEM, FACEP Associate Professor, Assistant Residency Director, Emergency Medicine Residency, Associate Program Director, Undersea and Hyperbaric Medicine Fellowship, Section of Emergency Medicine, Louisiana State University School of Medicine in New Orleans; Clinical Instructor, Department of Surgery, Tulane University School of Medicine

Heather Murphy-Lavoie, MD, FAAEM, FACEP is a member of the following medical societies: American Academy of Emergency Medicine, Society for Academic Emergency Medicine, Undersea and Hyperbaric Medical Society, American College of Emergency Physicians

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Robert Harwood, MD, MPH, FACEP, FAAEM Senior Physcian, Department of Emergency Medicine, Advocate Christ Medical Center; Assistant Professor, Department of Emergency Medicine, University of Illinois at Chicago College of Medicine

Robert Harwood, MD, MPH, FACEP, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, Council of Residency Directors in Emergency Medicine, Phi Beta Kappa, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Gil Z Shlamovitz, MD, FACEP Professor of Clinical Emergency Medicine, Keck School of Medicine of the University of Southern California; Chief Medical Information Officer, Keck Medicine of USC

Gil Z Shlamovitz, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

William S Ernoehazy, Jr, MD, FACEP Attending Physician, Department of Emergency Medicine, Flagler Hospital; Attending Physician, Baptist Emergency at Town Center

William S Ernoehazy, Jr, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Francis Counselman, MD, FACEP Chair, Professor, Department of Emergency Medicine, Eastern Virginia Medical School

Francis Counselman, MD, FACEP is a member of the following medical societies: Alpha Omega Alpha, American College of Emergency Physicians, Norfolk Academy of Medicine, Association of Academic Chairs of Emergency Medicine, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

The authors and editors of Medscape Reference gratefully acknowledge the contributions of previous editor, Charles V Pollack Jr, MD, to the development and writing of this article.

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