[Practical approach to a suspicion of child sexual abuse].

Child sexual abuse is very common. Whether it is a spontaneous revelation, a sign or an evocative symptom, the suspicion of sexual assault on a child requires the doctor to act, regardless of his specialty or mode of exercise. After the interview, the doctor carries out a general somatic examination and writes an initial descriptive medical certificate. Whatever the situation, it is advisable to send the child to hospital for immediate management -gynecological and anal examination, additional examinations, medication prescriptions-. He must explain to the parents the obligatory nature of the hospital summons and its obligation of protection which may lead to an alert to the Republic prosecutor. Physicians must have anticipated these situations and have contact information for their direct child protection contacts.