Sexual abuse of children is an especially delicate matter, and each reported case should be treated with exacting care. Accurate identification and appropriate response to symptoms of sexual maltreatment in children is essential to resilient, long-term recovery for survivors. Therefore, it is incumbent upon those professionals who care for and represent the interests of survivors to recognize cases of childhood sexual abuse and to respond expediently, in the best interest of the survivors. This new pocket atlas, the second addition to an ongoing series on child abuse, will support medical practitioners and other affiliated sexual assault response providers in identifying and interpreting the physical signs and symptoms of sexual abuse in children. With nearly 400 full-color exam photos and corresponding case studies, as well as detailed refreshers on anogenital anatomy, exam equipment, and typical findings, readers in medicine, law enforcement, and social service will all benefit from this compact photographic reference and guide.