Penn Injury Classification System (PICS) of Sommers et al: Genital Injury

Description

Sommers et al classified injuries in women associated with sexual assault. These are divided into genital and non-genital injuries. The authors are from the University of Pennsylvania, Galen College of Nursing (Cincinnati), Utah State University, University of Cincinnati and the University of Minnesota.

Patient selection: female with genital injury from sexual assault

Locations examined: external genitalia, internal genitalia, anus, rectum

Parameters:

(1) redness and/or swelling

(2) bruising and/or abrasions

(3) superficial skin injury of any type (not otherwise described)

(4) laceration

Parameter	Finding	Grade
redness and/or swelling	none	0
	present	1
bruising and/or abrasions	none	0
	< 5 mm in size	1
	5 to 25 mm	2
	> 25 mm	3
superficial skin injury	none	0
	< 5 mm	1
	>= 5 mm	2
laceration	none	0
	<= 25 mm AND not sutured	2
	> 25 mm OR require suturing	3

where:

• The original table did not grade a laceration 25 mm in length.

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Description

Specialty

ICD-10