HD FS 258 Lecture Notes - Lecture 7: Nurse Practitioner, Pediatrics, Sexual Assault
17 Jan 2017
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Medical evaluation of sexual abuse guest lecture (dr. frasier) Any examiner must train in specialized courses: child abuse pediatrician. Most qualified in forensics, overall assessment (science, clinical experts) 300+ in us: pediatrician, general practitioner, nurse practitioner, physician assistant, sexual assault nurse examiners. Video or other image found: pornography. Sexual assault within 72 96 hours: collection of forensics 24 hours on the body of a child. New dna technology may change this: evaluation for evidence of injury. Injury not visible inside of the body, but rather on the surface of the body: adolescents: Bleeding (anal or genital: always urgent often not trauma. Abrasion or laceration with or without a history. Forensic collection: christian, young and palusci: 3 papers which suggest that forensic evidence beyond 24 hours is rarely obtained form the child"s body: clothing and sheets were more likely to have such evidence and must be obtained quickly. Best done in a quiet clinic setting.
