Related Editorial. Child victims of sexual abuse may present with physical findings that can include anogenital problems, enuresis or encopresis. Behavioral changes may involve sexual acting out, aggression, depression, eating disturbances and regression. Because the examination findings of most child victims of sexual abuse are within normal limits or are nonspecific, the child's statements are extremely important. The child's history as obtained by the physician may be admitted as evidence in court trials; therefore, complete documentation of questions and answers is critical.
Evaluating the Child for Sexual Abuse - American Family Physician
Welles contributed to the construction of the baseline study instrument, conducted all analyses, and had primary responsibility for writing and editing this article. Baker, D. Brennan, S. Jacoby, and B.
Reflex anal dilation RAD is the reflexive dilation of the human anus to a diameter greater than two centimeters in response to the parting of the buttocks or anal stimulation, such as brushing with a medical instrument. RAD was theorized to be a clinical marker associated with anal sexual assault in children,  and has been associated with other signs of sexual assault  but also appears in children with severe chronic constipation and those subject to invasive medical treatments of the anus. It was discredited during the trial as the sole indication of sexual abuse, determined to be considered a sign of sexual assault by a tiny minority of British doctors. From Wikipedia, the free encyclopedia. Forensic Sci.
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