Sites that should be carefully examined:
(1) areas covered by hair
(2) areas covered by clothing
(3) axilla, groin and perineum
(4) vagina of a woman
(5) rectum
(6) mouth and oropharynx
Exposures that may be missed by an incomplete medical examination:
(1) fentanyl patches on perineum, in axilla or in mouth
(2) hidden injection drug sites
(3) intra-vaginal or intra-rectal drugs associated with body stuffing
Gastrointestinal exposure should be suspected in:
(1) small child
(2) body packer
(3) swallowing drugs when confronted by police
The complete exam may identify:
(1) unsuspected injuries
(2) findings suggestive of chronic use (such as dental changes seen with methamphetamines)
