Sexual Assault Evaluation

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Presentation transcript:

Sexual Assault Evaluation Dr. Lisa Pavlovic Medical Director YCAC

History Prepubertal Adolescent Minimal Facts – Who/When/What Minimal facts – Forensic interview

Forensic Evidence Collection Prepubertal 24 hours Physical evidence of injury or STI Blue Maxx CLOTHING Adolescent Within 72 (up to 120) CLOTHING Age of consent for kit is 13

12 9 3 6 Hymen in Supine Frog-Leg Position, Review anatomy and unestrogenized state of the tissue 6

12 9 3 6 Hymen in Supine Frog-Leg Position, Review anatomy and unestrogenized state of the tissue 6

Estrogenized

Complete hymenal transection and posterior bruising

Connecticut Laws Age of Consent is 16 Statuatory Rape if less than 16 and greater than 3 year age difference Age of consent 18 if offender is over 20 and in a coach/instructor role

When to Transfer Uncomfortable Pediatric Gynecology Admission

Yale Child Abuse Clinic All cases of child sexual abuse Forensic interview Colposcope exam STI testing Mental health referral