nl_e17

False Allegations of Child Abuse
● Immediate anal dilitation of at least 15 mm with stool not visible or palpable in rectal vault
[Note 20]
● Immediate, extensive venous congestion of perianal tissues [Note 21]
● Distorted, irregular anal folds [Note 22]
● Posterior hymenal rim less than 1 mm in all views [Note 23]
● Condyloma acuminata in a child [Note 24]
● Acute abrasions or lacerations in the vestibule or on the labia (not involving the hymen),
or perianal lacerations [Note 25]
Suggestive of Abuse / Penetration (Class 4)
● Combination of two or more suspicious anal findings or two or more suspicious genital
findings
● Scar or fresh laceration of the posterior fourchette with sparing of the hymen [Note 26]
● Scar in perianal area (must take history into consideration) [Note 27]
Clear Evidence of Penetrating Injury (Class 5)
● Areas with an absence of humenal tissue, (below the 3 o'clock to 9 o'clock line with
patient supine) which is confirmed in the knee-chest position
● Hymenal transections or lacerations
● Perianal laceration extending beyond (deep to) the external anal sphincter
● Laceration of posterior fourchette, extending to involve hymen
● Scar of posterior fourchette associated with a loss of hymenal tissue between 5 and 7
o'clock
Note 1: The sulcus is the area around the glans of the clitoris. Redness here means nothing.
Note 2: These are common normal variants, like having a split in your chin. If the bump is about
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