PEDIATRICS Vol. 78 No. 3 September 1986, pp. 385-398
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Forensic Evaluation of the Sexually Abused Child

William F. Enos MD1, Theodore B. Conrath BA1, and James C. Byer MD1

1 From the Medical Examiners Office, Northern Virginia District, and Fairfax Hospital, Falls Church, Virginia

Results of a 16-year forensic study of 162 cases are presented. A forensic examination protocol is delineated, laboratory specimens/evidence collection methods given, and an anatomical chart of the prepubescent female genitalia with a pictorial atlas of female abuse trauma provided. The number of child victims per 100,000 at-risk population was static v the population increase and increased v victim's age. More than 80% of all cases and 82.1% of positive cases involved girls. Of all victims, approximately 40% were positive based on history, physical evidence, laboratory evidence, and/or eyewitness deposition. Alleged incestual perpetrators accounted for 21.97% of female and 3.3% of male cases reported and 20% of female and 0% of positive for findings of sexual abuse.

Key Words: child abuse • forensic medicine • pedophilia • sex offense

Submitted on July 8, 1985
Accepted on January 8, 1986


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