HD FS 258 Lecture Notes - Lecture 10: American Journal Of Obstetrics And Gynecology, Colposcopy, Pelvic Examination
17 Jan 2017
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Medical evaluation of sexual abuse guest lecture (dr. frasier) Girls can be born without a hymen. It is injured by horseback riding, gymnastics or other normal activities. Its presence is proof there has been no penetration (however slight) The doctor cannot always tell: medical examination of the intact hymen . Physicians examined women who either were sexually active or virginal: physicians could not tell in nearly 1/3 of these cases whether she was or was not. Vaginal penetration commonly occurs without leaving findings that a medical provider could detect! A tool for magnification and photo documentation. Does not see what is not there. An experienced examiner will be able to determine most abnormalities without colposcopy. A pre-pubertal girl will undergo a pelvic examination. The medical evaluation will confirm the child"s story. Most importantly, the child or adolescent needs to be reassured that.
