HD FS 258 Lecture Notes - Lecture 3: Pelvic Examination, Itch, Encopresis
1 Feb 2017
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Dr. lori frasier medical evaluation of sexual abuse. 1956 gonorrhea wasn"t considered an std in children until the late 70s. Definition of sexual abuse: involvement of children and adolescents. Pa law: age of consent is 16, persons age 16 and over can consent to any sexual activity with anyone, pa law 3211. 1 statutory sexual assault, incapable of consent: Report suspected statutory or deviate sexual activity to: police, childline falls also under cps law. Medical exams: where: cacs (children"s advocacy center) with medical providers. May be freestanding with medical facilities on site. May be freestanding with medical referral to a community provider. Gp, pediatrician, specialized child abuse pediatrician, nurse practitioner, physician assistant, sexual assault nurse examiner. Medical exams: who: not part of schooling. Must be trained separately: any examiner must train in specialized courses. Child abuse pediatrician most qualifies in forensics, overall assessment (300+ in us)
