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He exposes the flaws of fingerprinting, hair strand matches and bite mark analysis - which often send innocent people to jail.
Adam uncovers the scary truth behind unreliable methods that are commonly used to build evidence in criminal cases.
However, if you are concerned about a childs sexual behavior, it is often a good idea to consult a professional with expertise in this area. Genital injuries resulting from sexual abuse, A longitudinal study.
The following sexualized behaviors are thought to be problematic: Sexually abused children may exhibit a range of emotional or behavioral problems as a result of their abuse experience. Appearance of the genitalia in girls selected for nonabuse: Review of hymenal morphology and non-specific findings. (v) Berenson AB, Chacko MR, Wiemann CM, Mishaw CO, Friedrich WN, Grady JJ. Perianal findings in prepubertal children selected for non-abuse: A descriptive study. (vii) Centers for Disease Control and Prevention (CDC) Guidelines, MMWR, Vol.
Johnson has also identified Problematic Sexual Behaviors in children. A longitudinal study of hymenal development from 3 to 9 years of age.
Erythema (redness) of the vestibule or increased vascularity (dilatation of existing blood vessels) of vestibule Superficial abrasions of the labia or posterior fourchette Shallow notches in the posterior rim of hymen extending through 50% or less of the width of the hymenal rim Narrow rim of hymen measuring 1-2 mm wide Labial adhesion Vaginal discharge Vesicular lesions or ulcers in the genital area Genital warts in a child Blood on underwear Vaginal bleeding (Found in both abused and non-abused children/adolescents) Erythema (redness) of the perianal tissues Anal fissures Anal dilation without stool visible Superficial abrasions of the perianal skin Bruises on the buttocks Vesicles or ulcers in the anal area or on the buttocks Bleeding from the anus Erythema of penis, lower abdomen or inner thighs Edema of penis/scrotum (These may result from self-manipulation, poor hygiene, contact irritation/inflammation, or infection) Superficial abrasions on the penis/scrotum Warty lesions or vesicular lesions on the penis/scrotum: May be transmitted by sexual or nonsexual means: Herpes type I or II in a child who requires caretaker assistance with toileting or hygiene, or who may have self-innoculated from an oral lesion Bacterial vaginosis in a child or adolescent Any STD (including HPV or genital wards) in an infant who may have acquired it perinatally Findings that have been noted in children with documented abuse, and may be suspicious for abuse, but for which insufficient data exists to indicate that abuse is the only cause. Nonspecific Behaviors The following factors may influence the intensity and type of reaction a child has to the experience of sexual abuse (although some important issues related to any one childs experience may not be included in this list): A childs reactions may involve behaviors that can be observed by other people, or may simply involve the childs innermost thoughts and/or subjective emotional feelings.
Acute trauma - suspect sexual abuse: Acute lacerations or bruising of labia, fossa, posterior fourchette or perihymenal tissues Bruises or bites to upper or inner thighs near genitalia Sucker/hickey marks on inner thighs near genitalia Possible healed injuries from abuse: Scar of the posterior fourchette Hymenal notch/cleft extending through more than 50% of the posterior (inferior) or lateral portion of the hymenal rim Acute trauma - suspect sexual abuse: Marked bruising and edema of the perianal tissues, as distinguished from venous pooling Possible residual from trauma: Perianal scar (may be due to healed fissure from Crohns Disease or from surgery) Acute trauma - suspect physical or sexual abuse: Banding of penis with childs hair or other objects (this may be accidental in infants, from hair of a caretaker) Bite or pinch marks on penis, scrotum, or inner thighs near genitalia Sucker/hickey marks on inner thighs near genitalia : Sexual transmission is likely cause of infection: Herpes type I or II lesions in the genital area in a child who has no oral lesions and requires no assistance with toileting or hygiene Trichomonas infection diagnosed by wet mount preparation or culture of vaginal secretions HPV infection in a child in whom perinatal transmission is considered unlikely : Findings that can have no explanation other than trauma to the hymen or vaginal tissues. Some of the reactions to sexual abuse can be similar across age groups, while other reactions may be more common in younger or in older children.
Found in newborns: Periurethral or vestibular bands Hymenal tags Hymenal bump or mound Linea vestibularis Hymenal cleft/notch in the anterior (superior) half of the hymenal rim, on or above the 3 oclock and 9 oclock line, patient supine Estrogen changes Tag at 6 oclock from redundant perineal raphe Thickening of perineal raphe Blue tint from underlying veins Normal variants: Diastasis ani Perianal skin tag Increased perianal skin pigmentation Anal dilation with stool present Venous congestion, or venous pooling, in perianal tissues: Candida infections Strep infections Urinary tract infections Vaginitis caused by enteric or respiratory organisms Gardnerella vaginalis cultured from vagina, in the absence of any other signs of bacterial vaginosis Also, conditions such as urethral prolapse, lichen sclerosis, genital hemangiomas, Crohns Disease, and Bechets Disease may be mistaken for abuse.
Findings that may be the result of sexual abuse, depending on the timing of the examination with respect to the abuse, but which also may be due to other causes.
Adam Ruins Forensic Science is the fourth episode of Season 1 in Adam Ruins Everything.