1 / 21

Medical Findings in Child Sexual Abuse

loyal
Download Presentation

Medical Findings in Child Sexual Abuse

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Medical Findings in Child Sexual Abuse Robert A. Shapiro, M.D. Associate Professor of Clinical Pediatrics Cincinnati Children’s Hospital Medical Center

    2. Female Pre-pubertal Anatomy

    3. Male Pre-pubertal Anatomy

    4. Female Tanner Stages

    5. Male Tanner Stages

    6. Normal hymen

    7. Normal hymen variants

    8. Normal hymen variants

    9. Different exam techniques

    10. Positioning effects exam findings

    11. Hymenal Variants

    12. Septate Hymen

    13. Significance of exam findings

    14. Size of the hymenal opening

    15. Frequency of Abnormal Exams

    16. Hymen is absent

    17. Healed tears

    18. Bite on penis

    19. STDs GC, chlamydia and syphilis are almost always indicative of abuse HPV and herpes infections are frequently due to abuse Gardnerella can be seen in sexually inactive children HIV is often sexually transmitted

    20. Transmission of HPV and HSV Perinatal HPV: incubation period up to 2 years Autoinoculation Fomites (towels, underwear, etc) Abuse (digital or genital)

    21. HPV & Sexual Abuse

    22. Herpes Simplex & Sexual Abuse

More Related