nl_e17

Recommendations

Info

FORENSIC EVIDENCE AND LABORATORY RESULTS Diagnostics and Evidence Gathering: Forensic Evidence and Laboratory Results DIAGNOSTICS AND EVIDENCE GATHERING � List specimens submitted 19 � List lab exams performed and indicate pending lab result 20 19. Submitted Specimens All specimens submitted must be properly labeled. The label should include the following information: • Date • Case number • Patient’s name • Age of patient • Physician’s initials 20. Laboratory Exams The following are possible laboratory exams to be performed when evaluating a child abuse patient: • Swab for presence of semen for cases occurring within 72 hours (Swab mouth, vagina, rectum and any other site on the body suspicious for abuse) • Microscopic examination of vaginal swabs/TMG • Trichomonas (exam is wet mount) • Monilia (exam is KOH prep) • Gram stain • Culture for gonorrhea and chlamydia when resources are available • Cervical swabs • Oral swabs • Rectal swabs • Urethral swabs • Vaginal swabs • DNA analysis when resources are available • Test for presence of drugs and alcohol when resources are available • Pregnancy test/ultrasound when resources are available • Blood test for sexually transmitted diseases (e.g., VDRL, Hepatitis B, HIV) when resources are available
IMPRESSIONS IMPRESSIONS � Record overall impressions in this space 21 21. Recording Impressions Use the Impressions Section of the medical certificate to present an overall conclusion of findings, as well as your assessment of the compatibility of your findings with the allegations of abuse. When formulating an impression, consider all available information: • Disclosure of abuse or witnessed abuse • Physical findings • Behavior changes • Medical history • Pregnancy • STDs • Forensic evidence (e.g., presence of sperm, results of DNA studies) All of this information may not be present at the time of examination; in many situations, o<strong>nl</strong>y physical examination findings are available. It is important to recognize the limits of interpretation of findings if o<strong>nl</strong>y the physical results are considered. Further, there may be situations in which the initial examining physician has little knowledge or experience in the evaluation of cases of suspected child abuse. In such circumstances, the following text or a similar variation may be used: “The interpretation of the evaluation and physical findings is deferred for later review with expert consultation.” Whenever the hymen and hymenal tissues are described, physicians are urged to be as specific as possible concerning the character and appearance of the hymen. Physicians must avoid inaccurate and non-descriptive terms, such as “virgin,” “virgin-state” and “intact hymen” (Finkel, et al., 2001). Terms used must be scientifically supported, in accordance with presently accepted international standards such as those endorsed by the American Professional Society on the Abuse of Children (APSAC) and the International Society for the Prevention of Child Abuse and Neglect (ISPCAN).
Page 1 and 2:
Ipce Newsletter E 17 I p c e N E W
Page 3 and 4:
Ipce Newsletter E 17 there were onl
Page 5 and 6:
Ethics and ... Ethics The guideline
Page 7 and 8:
Report of the Meeting Report of the
Page 9 and 10:
Report of the Meeting functions, he
Page 11 and 12:
Report of the Meeting nicknames is
Page 13 and 14:
Report part 2 2. Presentations and
Page 15 and 16:
Report part 2 What are Governments
Page 17 and 18:
Report part 2 In the US, 20,000 peo
Page 19 and 20:
Report part 2 "They say your real a
Page 21 and 22:
Report part 2 phenomenon that has e
Page 23 and 24:
Report part 2 (which by the way, as
Page 25 and 26:
Report part 2 This Too Is Love web
Page 27 and 28:
Report part 3 3. Internal Ipce Matt
Page 29 and 30:
Report part 3 Secretarial costs: Po
Page 31 and 32:
Report part 3 As during every meeti
Page 33 and 34:
Report part 4 4. Discussion about E
Page 35 and 36:
Report part 4 this is not ethical.
Page 37 and 38:
Report part 4 Freedom and rights ar
Page 39 and 40:
Report part 5 "I have been in that
Page 41 and 42:
Report part 6 6. Evaluation of the
Page 43 and 44:
Psychiatric Association Debates Lif
Page 45 and 46:
Psychiatric Association Debates Lif
Page 47 and 48:
Online Sex Abuse Cases not ... [Bac
Page 49 and 50:
Online Sex Abuse Cases not ... thos
Page 51 and 52:
Extreme sentences demanded trips to
Page 53 and 54:
MARTIJN present at the Belgian Lesb
Page 55 and 56:
Doc List E 17 Aug 2004 04-049 @ PDF
Page 57 and 58:
Psychiatric Association Debates Rec
Page 59 and 60:
Psychiatric Association Debates Rec
Page 61 and 62:
Moser & Kleinplatz 2003 - Excerpt R
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Online Sex Abuse Cases Not Characte
Page 69 and 70:
HolokittyNX's Page we think people
Page 71 and 72:
False Allegations of Child Abuse Fa
Page 73 and 74:
False Allegations of Child Abuse Si
Page 75 and 76:
False Allegations of Child Abuse Un
Page 77 and 78:
False Allegations of Child Abuse
Page 79 and 80:
False Allegations of Child Abuse On
Page 81 and 82:
False Allegations of Child Abuse Cl
Page 83 and 84:
False Allegations of Child Abuse le
Page 85 and 86:
False Allegations of Child Abuse Ov
Page 87 and 88:
False Allegations of Child Abuse Ba
Page 89 and 90: Age of Consent Campaign, 1886-1914,
Page 91 and 92: Is pedophilia a mental disorder [In
Page 93 and 94: Is pedophilia a mental disorder The
Page 95 and 96: Is pedophilia a mental disorder cho
Page 97 and 98: Is pedophilia a mental disorder tha
Page 99 and 100: Is pedophilia a mental disorder act
Page 101 and 102: Is pedophilia a mental disorder Gre
Page 103 and 104: Is pedophilia a mental disorder [In
Page 105 and 106: Injuries Indicative of Abuse Class
Page 107 and 108: Injuries Indicative of Abuse Class
Page 109 and 110: Injuries Indicative of Abuse the ch
Page 111 and 112: Injuries Indicative of Abuse ceases
Page 113: Injuries Indicative of Abuse Top Re
Page 117 and 118: THE MEDICO-LEGAL TECHNICAL WORKING
Page 119: TABLE OF CONTENTS Introduction 7 Ou
Page 122 and 123: OUR GOALS It is the genuine hope of
Page 124 and 125: DEMOGRAPHIC DATA DEMOGRAPHIC DATA P
Page 126 and 127: GENERAL PHYSICAL EXAMINATION: MENTA
Page 128 and 129: GENERAL PHYSICAL EXAMINATION: PERTI
Page 130 and 131: ANO-GENITAL EXAMINATION: EXTERNAL G
Page 132 and 133: ANO-GENITAL EXAMINATION: URETHRA AN
Page 134 and 135: EXTERNAL GENITALIA URETHRA AND PERI
Page 142 and 143: Medical findings can then be catego
Page 144 and 145: Impression: “Medical evaluation d
Page 146 and 147: APPENDICES � Appendix A: Abuse Do
Page 148 and 149: APPENDIX B: ADAMS CLASSIFICATION SY
Page 150 and 151: CLEAR EVIDENCE OF BLUNT FORCE OR PE
Page 152 and 153: APPENDIX C: SELECTED TERMS FROM THE
Page 154 and 155: Redundant Hymen: *Abundant hymenal
Page 157: MEDICO-LEGAL CERTIFICATE DEMOGRAPHI
Page 160 and 161: The Smoking Gun: Archive < 1 2 3 4
Page 166 and 167: Powell, "Legal Protection For Young
Page 168 and 169: Powell, "Legal Protection For Young
Page 170 and 171: Powell, "The Moral Elevation of Gir
Page 172 and 173: Powell, "The Moral Elevation of Gir
Page 174 and 175: "The International Traffic in Girls
Page 176 and 177: "The Age of Consent," June 1886 Doc
Page 178 and 179: "The Age of Consent," June 1886 hav
Page 180 and 181: "Protection of Girlhood," October 1
Page 182 and 183: Butler, "The Double Standard of Mor
Page 184 and 185: Butler, "The Double Standard of Mor
Page 186 and 187: Frances Willard, "Social Purity Wor
Page 188 and 189: Frances Willard, "Social Purity Wor
Page 190 and 191:
Frances Willard, "Social Purity Wor
Page 192 and 193:
Page 194 and 195:
Page 196 and 197:
Bessie Cushman, "Another Maiden Tri
Page 198 and 199:
Bessie Cushman, "Another Maiden Tri
Page 200 and 201:
Petition of the WCTU, 1888 Document
Page 202 and 203:
Petition of the WCTU, 1888 two mont
Page 204 and 205:
Petition of WCTU, Image Previous Do
Page 206 and 207:
"Seduction a Felony," Sept 1888 off
Page 208 and 209:
Campbell, "Poverty and Vice," 1890
Page 210 and 211:
Campbell, "Poverty and Vice," 1890
Page 212 and 213:
Stanton, "Preface", in Pray You Sir
Page 214 and 215:
Stanton, "Preface", in Pray You Sir
Page 216 and 217:
Gardener, "What Shall the Age of Co
Page 218 and 219:
Gardener, "What Shall the Age of Co
Page 220 and 221:
Blackwell, "Age of Consent Legislat
Page 222 and 223:
Blackwell, "Age of Consent Legislat
Page 224 and 225:
Campbell, "Why an Age of Consent?"
Page 226 and 227:
Page 228 and 229:
Page 230 and 231:
Gardener, "A Battle for Sound Moral
Page 232 and 233:
Gardener, "A Battle for Sound Moral
Page 234 and 235:
Henry B. Blackwell, "The Case of Ma
Page 236 and 237:
"The National Colored Woman's Congr
Page 238 and 239:
"The National Colored Woman's Congr
Page 240 and 241:
Powell, "President's Opening Addres
Page 242 and 243:
Page 244 and 245:
Page 246 and 247:
Welty, "The Need of White Cross Wor
Page 248 and 249:
Page 250 and 251:
Page 252 and 253:
Page 254 and 255:
Ballard, Danger to our Girls, [1900
Page 256 and 257:
Page 258 and 259:
Page 260 and 261:
Page 262 and 263:
Finch, White Slave Traffic, 1912 Do
Page 264 and 265:
Finch, White Slave Traffic, 1912 go
Page 266 and 267:
Finch, White Slave Traffic, 1912 af
Page 268 and 269:
Finch, White Slave Traffic, 1912 po
Page 270 and 271:
Finch, White Slave Traffic, 1912 ap
Page 272 and 273:
"The Morality of Sex," 1913 Documen
Page 274 and 275:
"The Morality of Sex," 1913 degree
Page 276 and 277:
"The Morality of Sex," 1913 is part
Page 278 and 279:
"The Morality of Sex," 1913 five in
Page 280 and 281:
Bowen, "Legal Protection in Industr
Page 282 and 283:
Bowen, "Legal Protection in Industr
Page 284 and 285:
Age of Consent Campaign, 1886-1914,
Page 286 and 287:
Page 288 and 289:
Page 290 and 291:
Page 292 and 293:
Campaign to Raise the Legal Age of
Page 294 and 295:
Campaign to Raise the Legal Age of
Page 296 and 297:
Entrez PubMed Jun 1 2005 06:58:50 h
Page 298 and 299:
The MMWR series of publications is
Page 300 and 301:
2 MMWR May 10, 2002 Throughout this
Page 302 and 303:
4 MMWR May 10, 2002 Rectal Use of N
Page 304 and 305:
6 MMWR May 10, 2002 entered into a
Page 306 and 307:
8 MMWR May 10, 2002 infection, ofte
Page 308 and 309:
10 MMWR May 10, 2002 Providers must
Page 310 and 311:
12 MMWR May 10, 2002 darkfield exam
Page 312 and 313:
14 MMWR May 10, 2002 First Clinical
Page 314 and 315:
16 MMWR May 10, 2002 of patients wh
Page 316 and 317:
18 MMWR May 10, 2002 Special Consid
Page 318 and 319:
20 MMWR May 10, 2002 induce early l
Page 320 and 321:
22 MMWR May 10, 2002 Recommended Re
Page 322 and 323:
24 MMWR May 10, 2002 either IM or I
Page 324 and 325:
26 MMWR May 10, 2002 Congenital Syp
Page 326 and 327:
28 MMWR May 10, 2002 Evaluation and
Page 328 and 329:
30 MMWR May 10, 2002 An intradermal
Page 330 and 331:
Page 332 and 333:
34 MMWR May 10, 2002 Rescreening is
Page 334 and 335:
36 MMWR May 10, 2002 Recommended Re
Page 336 and 337:
38 MMWR May 10, 2002 Azithromycin 1
Page 338 and 339:
40 MMWR May 10, 2002 indistinguisha
Page 340 and 341:
42 MMWR May 10, 2002 ensure that al
Page 342 and 343:
44 MMWR May 10, 2002 Pregnancy All
Page 344 and 345:
46 MMWR May 10, 2002 Uncomplicated
Page 346 and 347:
48 MMWR May 10, 2002 immunosuppress
Page 348 and 349:
50 MMWR May 10, 2002 Parenteral Reg
Page 350 and 351:
52 MMWR May 10, 2002 HIV Infection
Page 352 and 353:
54 MMWR May 10, 2002 some patients
Page 354 and 355:
56 MMWR May 10, 2002 NOTE: Although
Page 356 and 357:
58 MMWR May 10, 2002 Recommendation
Page 358 and 359:
60 MMWR May 10, 2002 Although virem
Page 360 and 361:
62 MMWR May 10, 2002 3%-27% had evi
Page 362 and 363:
64 MMWR May 10, 2002 is encouraged,
Page 364 and 365:
66 MMWR May 10, 2002 and disease in
Page 366 and 367:
Page 368 and 369:
70 MMWR May 10, 2002 Wet mount and
Page 370 and 371:
72 MMWR May 10, 2002 TABLE 5. Impli
Page 372 and 373:
74 MMWR May 10, 2002 If caregivers
Page 374 and 375:
76 MMWR May 10, 2002 58. Larsson PG
Page 376 and 377:
78 MMWR May 10, 2002 HSV Herpes sim
Page 378 and 379:
80 MMWR May 10, 2002
Page 380 and 381:
MMWR The Morbidity and Mortality We
Page 382 and 383:
African-American Women Within the W
Page 384 and 385:
African-American Women Within the W
Page 386 and 387:
The Appeal of Female Moral Reform,
Page 388 and 389:
African-American Women within the W
show all

nl_e17

Create successful ePaper yourself

Delete template?

Save as template?