Medico-legal issues in detecting and proving the sexual abuse of children

In this article the author reviews the scope and magnitude of the problem currently faced by medical and investigative personnel in detecting and proving the sexual molestation of children. The legal effects of poor medical records are discussed in detail. Various medical and legal issues that may present pitfalls for the unwary examining physician are identified and discussed. The admissibility of various portions of the medical examination and medical report as evidence in courts of law is reviewed as well as newly emerging forensic tests and techniques for collecting medical evidence. The author provides a comprehensive and detailed summary of steps to be followed in the physical examination of a child sex abuse victim, emphasizing the importance of a strict, thorough procedure for protecting the interests of the patient, the physician and society.