[Pediatric] Atlas of Child sexual abuse

Atlas of Child sexual abuse, PEDIATRIC ATLAS, CLINICAL ATLAS, atlas in medical, tuyenlab.net,

Typical appearance of the hymen and perihymenal tissues in a 12-year-old girl
FIGURE 1. Typical appearance of the hymen and perihymenal tissues
in a 12-year-old girl. Once females have entered puberty, the hymen
becomes redundant with overlapping folds and is more dif cult to
examine for subtle signs of acute or healed injury.



Hymenal cleft visible when the girl in Figure 1 is more carefully examined using a saline moistened cotton-tip applicator to gently separate and demonstrate the edges of the hymen
FIGURE 2. Hymenal cleft visible when the girl in Figure 1 is more
carefully examined using a saline moistened cotton-tip applicator to
gently separate and demonstrate the edges of the hymen. This injury
was caused by sexual abuse and may have been missed without the
more careful examination.


A 10-year-old girl with an acute tear of the posterior vestibule after  recent sexual assault by a stranger.
FIGURE 3. A 10-year-old girl with an acute tear of the posterior vestibule after
recent sexual assault by a stranger. The posterior vestibule is
the most common location for acute penetrative trauma in females.


Acute hymenal hematoma in a prepubertal girl from penile penetration/contact
FIGURE 4. Acute hymenal hematoma in a prepubertal girl from
penile penetration/contact. One reason why the considerable majority
of examinations are normal may be that contact is more common than
complete penetration and injuries resulting from penile contact are
uncommon or are minor injuries that heal quickly and completely
within days.


Acute rectal laceration in a young boy who was sexually abused by a relative
FIGURE 5. Acute rectal laceration in a young boy who was sexually
abused by a relative. More than 95 percent of anal examinations in children
with a history of anal penetration are normal or nonspecic.


Herpes simplex virus (HSV) type 1 infection on the vulva of the prepubertal girl caused by sexual abuse
FIGURE 6. Herpes simplex virus (HSV) type 1 infection on the vulva of
the prepubertal girl caused by sexual abuse. HSV type 1 of the genitals
from sexual contact is increasing in prevalence relative to
HSV type 2 infections of the genitals.


Lichen sclerosus et atrophicus in a young girl
FIGURE 7. Lichen sclerosus et atrophicus in a young girl. This is a
cutaneous disease, but commonly confused with sexual abuse because
of the subepidermal hemorrhages.


Labial adhesion can be confused with scarring secondary to child sexual abuse
FIGURE 8. Labial adhesion can be confused with scarring secondary
to child sexual abuse. This acquired condition is common in prepubertal girls and thought to be related to hygiene, irritation, and possibly trauma. The young girl is in supine frog-leg position.



This is only a part of the book : Color Atlas of Pediatrics 1st Edition of authors: Richard P. Usatine, MD; Camille Sabella, MD; Mindy Ann Smith, MD; E.J. Mayeaux, Jr., MD; Heidi S. Chumley, MD and Elumalai Appachi, MD, MRCP (UK). If you want to view the full content of the book and support author. Please buy it here: https://goo.gl/BEp0yD

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Atlas for Medical: [Pediatric] Atlas of Child sexual abuse
[Pediatric] Atlas of Child sexual abuse
Atlas of Child sexual abuse, PEDIATRIC ATLAS, CLINICAL ATLAS, atlas in medical, tuyenlab.net,
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