Laboratory

Laboratory testing in child physical and sexual abuse should be guided by history and physical examination. This section provides an overview and guidance regarding commonly ordered laboratory tests in the evaluation of the abused child and should be considered in concert with review of recent CDC, NYS, and professional society guidelines.

  • In the evaluation of children and adolescents who have been abused, laboratory tests may be helpful to:

  • Evaluate for sexually transmitted infections and diseases
  • Test for pregnancy
  • Assist in the work-up for suspected physical injuries
  • Work up a child with failure to thrive
  • Test for illicit drug exposure or exposure to drugs used for the purpose of incapacitation or other criminal intent

Laboratory test results should be interpreted in conjunction with the history and physical and do not take the place of a well-done history and physical. To effectively determine the quality and value of information provided by laboratory testing, review and be aware of the limitations of a particular test and laboratory capabilities.

Key Concepts