Forensic evaluation of the sexually abused child.
Results of a 16-year forensic study of 162 cases are presented. A forensic examination protocol is delineated, laboratory specimens/evidence collection methods given, and an anatomical chart of the prepubescent female genitalia with a pictorial atlas of female abuse trauma provided. The number of child victims per 100,000 at-risk population was static v the population increase and increased v victim's age. More than 80% of all cases and 82.1% of positive cases involved girls. Of all victims, approximately 40% were positive based on history, physical evidence, laboratory evidence, and/or eyewitness deposition. Alleged incestual perpetrators accounted for 21.97% of female and 3.3% of male cases reported and 20% of female and 0% of positive for findings of sexual abuse.
D000293:Adolescent; D001003:Anal Canal / Q000473:pathology; D002648:Child; D002649:Child Abuse; D002675:Child, Preschool; D003075:Coitus; D005260:Female; D005554:Forensic Medicine; D005836:Genitalia, Female / Q000293:injuries / Q000473:pathology; D005837:Genitalia, Male / Q000293:injuries / Q000473:pathology; D006708:Homicide; D006801:Humans; D006924:Hymen / Q000293:injuries / Q000473:pathology; D007179:Incest; D007223:Infant; D008297:Male; D008487:Medical History Taking; D009055:Mouth / Q000473:pathology; D010808:Physical Examination; D012742:Sex Offenses; D013048:Specimen Handling / Q000379:methods; D011795:Surveys and Questionnaires