By Rich A. Kaplan
Scientific reaction to baby Sexual Abuse: A source for execs operating with young children and households used to be particularly constructed to supply the mandatory details for equipping clinicians, nurses, and different doctors with the basic instruments for navigating the vexing territory of kid sexual abuse. The sexual mistreatment of kids is still a tough and sometimes nerve-racking problem for scientific services. as well as the quickly increasing and sometimes counterintuitive examine on genital damage and therapeutic, clinicans also are confronted with complicated and regularly painful emotional concerns, a necessity to paintings productively and overtly with nonmedical interdisciplinary staff individuals, and the potential of being referred to as to supply testimony within the uncomfortable and occasionally opposed court.
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Additional resources for Medical Response to Child Sexual Abuse: A Resource for Clinicians and Other Professionals
While this may seem obvious, the lack of understanding of the many variations in normal appearance of the genital and anal tissues in children has led to misunderstandings among medical and non-medical professionals alike. 4-9 When a child’s examination is thought to show signs of injury or abuse but actually represents normal findings or evidence of another medical condition, the medical provider may contact child protection and/or law enforcement officials to report the suspicions. The child and family would then be unnecessarily traumatized by a referral and investigation of those suspicions.
Appendix Figure 2-20. Microperforate hymen in an 8-year-old girl. Appendix Figure 2-18 Appendix Figure 2-20 Appendix Figure 2-19 Appendix Figure 2-21. Superficial notches at 3 and 6 o’clock in the hymen of a 6-year- old girl. Alternatively, one could describe this as representing two mounds on the hymen at 5 and 7 o’clock. Appendix Figure 2-21 28 Chapter 02 3/9/11 12:40 PM Page 29 Chapter 2: Basic Anatomy of the Genitalia and Anus Appendix Figure 2-22-a Appendix Figure 2-22-b Appendix Figure 2-22-a.
Figure 2-3-a. The sexually indifferent complex demonstrates the fused paramesonephric ducts with their solid distal ends in direct contact with the mesonephric epithelium, but still separated from the epithelium of the urogenital sinus. Figure 2-3-a Figure 2-3-b. The distal paramesonephric epithelium has thickened into lateral “wings” of solid stratified epithelium, while sinus epithelium extends over a short distance into the orifices of the regressing mesonephric ducts. Figure 2-3-c. Structures shown as median section.