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Each year, about 1% of children in the U.S. become victims of sexual abuse. Many of these children are evaluated for injury and infections, but little is known about the value of follow-up examinations. To determine whether a second evaluation provides information that could change diagnosis or treatment, researchers conducted a retrospective chart review of 727 consecutive children (87% female) who received initial and follow-up sexual abuse examinations in 2004–2009 in Texas. The children were initially examined by a trained pediatric sexual-assault nurse-examiner at a children's hospital emergency department or by a child abuse physician or nurse practitioner specialist at a regional child advocacy center. The follow-up exam was conducte…