Hornor listed physical findings that may be mistaken for signs of sexual abuse. These must be considered before a diagnosis of sexual abuse is made. The author is from Nationwide Children's Hospital in Columbus, Oho.
Patient selection: pediatric patient
Anal findings:
(1) anal fissures
(2) perianal dermatitis
Female genital findings:
(1) enlargement of the hymenal opening
(2) vaginal foreign bodies
Urethral and urinary tract findings:
(1) urethral prolapse
(2) urinary tract infection
Skin lesions:
(1) Mongolian spots (which may mimic bruises)
(2) nevi
(3) molluscum contagiosum
(4) anogenital lichen sclerosus
Perineal findings:
(1) incomplete midline perineal fusion
(2) straddle injury or other accidental perineal trauma
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