Medical forensic photography of the sexually abused child

The dramatic increase in reports of sexual abuse has resulted in increasing referrals to physicians for medical evaluation and has placed demands on physicians to adequately and expertly assess these children. High quality, close-up photographs of significant lesions can be an important part of this evaluation. Camera systems recommended vary from colposcopes to close-up 35-mm systems to instant cameras. Physicians who examine sexually abused children should have ready access to an adequate photographic system, as well as basic knowledge of camera operation, film procedures, and medicolegal implications. Case studies and discussion are used to review colposcopic and close-up 35-mm camera techniques available to the physician to photograph the sexual abuse victim.