Professional Documents
Culture Documents
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Rape, or the sexual assault of children, women, and men, is a common act.
any sexual act performed by one person on another without that person's
consent
Very young
Mentally and physically handicapped
Very old are
Homeless
*Although the perpetrator may be a stranger, he or she is often an individual well
known to the victim.
Marital Rape - involves forced coitus or related acts without consent but within the
marital relationship
Date Rape - the woman may voluntarily participate in sexual play, but coitus is
performed, often forcibly, without her consent; often not reported because the victim
may believe she contributed by partially participating.
Victim deserves it
Indication of basic promiscuity of victim
Victim lied
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Turn specimens over to forensic authorities and receive receipts for chart
Treat injuries
Diagnose and treat STD
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Prevent pregnancy
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Pharynx 6 hr
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Up to 8 hr
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Vagina
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100 IU
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Trichomonassaline preparation
Cytomegalovirusserology
HIVserology
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SyphilisRPR
Chlamydia trachomatisculture
diagnoses; rather the physician should report findings as consistent with use
of force.
Nonmotile sperm may be present as well if the attack occurred 12 to 20
hours previously
motile sperm will be noted for as long as 2 to 3 days in the endocervix
It is difficult to ascertain whether ejaculation occurred in the mouth, because
residual seminal fluid is rapidly destroyed by bacteria and salivary enzymes,
making documentation of such an event difficult after more than a few hours
have passed.
Seminal fluid may be found staining the skin or the clothing several hours
after the attack, and this should be looked for
Medicolegal Responsibilities:
1. careful documentation of history
2. thorough examination of the patient and specific noting of all
injuries
3. collection of articles of clothing
4. collection of vaginal, rectal, pharyngeal samples
5. combing of pubic hair
6. collection of fingernail scraping
7. collection of saliva
8. submission and receiving of receipts of specimens to forensics
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Rectum Undetermined 20 to 24 hr
100 IU
Cervix
Similar to vagina
Up to 5 days
Up to 17 days
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guilt feelings
fearful that withdrawing from the relationship will destroy the family
shame and humiliation
weak ego and self image
difficult relationships later on
poor interpersonal relationships and chaotic families in the future
abnormal psychological development
psychiatric symptoms
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Families in which incestuous activity is taking place may appear normal, but
family members frequently have limited contact with the outside world.
Family relationships are often chaotic, including problems such as alcohol
and drug abuse and severe mental illness.
fatherdaughter incestuous relation-ships the father is frequently a passive,
introspective person who experiences a weak sexual relationship with the
child's mother
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Frequent crying
Often accompanied by male partner
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head
neck
chest
abdomen
breast
upper extremity
Injuries
pushing
slapping
kicking
hitting
beating
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Passivity
Jumpiness
Evasiveness
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Fright
Intimate Partner Violence - the CDC's currently preferred term because it allows for
males or females to be the victim and intimate partners can be the same or opposite
sex
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Embarrassment
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Hyperventilation
Shyness
Insomnia
Battered Woman - defined as any woman over the age of 16 with evidence of physical
abuse on at least one occasion at the hands of an intimate male partner
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Headaches
Choking sensation
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Tension building
Tension between the couple gradually escalates manifested by discrete acts
that cause family friction
Name calling, intimidating remarks, meanness, and mild physical abuse such
as pushing are common
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Between 500,000 and 2.5 million cases of abuse of the elderly reportedly
occur in the United States each year.