lEGAL MEDICINE Sex Crimes

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Sex Crimes

- it is one of the ancient and universal crimes - there is close physical contact between the offender and the victim - in general, it is committed by one sex against the opposite sex -it is usually committed in strict privacy and many go un reported -more frequent among the lower socio economic class - Rape is the highest form of sex crime

Rape
-A

sexual crime committed by a man or by any person by having carnal knowledge of a woman; or shall commit an act of sexual assault by inserting his penis into another persons mouth and or orifice, or any instrument or object into the genital and or orifice of another person under any of the following circumstances:
-a. Use of force or intimidation -b. When the woman is deprived of reason or is otherwise

unconscious -c. When the woman is under 12 years of age, is demented even though none of the circumstances mention above be present

Hymen

A.

B.

C.

D.

E.

The above illustrations show the area between the labia minora. From top to bottom can be clearly seen the clitoris, urethral opening, and vaginal opening. A, B, and C show vaginal openings with a normal hymen, a membrane that partially covers the opening. The hymen is the traditional "symbol" of virginity, although being a very thin membrane, it can be torn by vigorous exercise or the insertion of a tampon. Illustration D shows an imperforate hymen that completely closes the vagina; this rare condition requires surgical intervention to provide for a normal flow of blood once menstruation begins. Illustration E is of a vagina in a post-partum woman (one who has given birth).

FEMALE INTERNAL GENITALIA VAGINA, UTERUS, OVARIES, AND GSPOT

Typical Examination for Alleged Rape Category Specifics General information Demographic data about the patient Name, address, and phone number of the guardian if the patient is under age Name of police officer, badge number, and department Date, time, and location of examination

History Circumstances of attack, including Date, time, and location (familiar to patient?) Information about assailants (number, name if known, description) Use of threats, restraints, or weapon Type of sexual contact (vaginal, oral, rectal; use of condom?) Types of extragenital injuries sustained Occurrence of bleeding (patient or assailant) Occurrence and location of ejaculation by the assailant Activities of the patient after the attack, such as Douching or bathing Use of a tampon or sanitary napkin Urination or defecation Changing of clothing Eating or drinking Use of toothpaste, mouthwash, enemas, or drugs Last menstrual period Date of previous coitus and time, if recent Contraceptive history (eg, oral contraceptives, intrauterine device)

Physical examination General (extragenital) trauma to any area Genital trauma to the perineum, hymen, vulva, vagina, cervix, or anus Foreign material on the body (eg, stains, hair, dirt, twigs) Examination with Wood's lamp or colposcopy when available

Data collection Condition of clothing (eg, damaged, stained, foreign material adhering) Small samples of clothing, including an unstained sample, given to the police or laboratory Hair samples, including loose hairs adhering to the patient or clothing, semen-encrusted pubic hair, and clipped scalp and pubic hairs of the patient (at least 10 of each for comparison) Semen taken from the cervix, vagina, rectum, mouth, and thighs Blood taken from the patient Dried samples of the assailant's blood taken from the patient's body and clothing Urine Saliva Smears of buccal mucosa Fingernail clippings and scrapings Other specimens, as indicated by the history or physical examination

Laboratory testing Acid phosphatase to detect presence of sperm* Saline suspension from the vagina (for sperm motility) Semen analysis for sperm morphology and presence of A, B, or H blood group substances Baseline serologic test for syphilis in the patient Baseline testing for sexually transmitted diseases in the patient Blood typing (using blood from the patient and dried samples of the assailant's blood) Urine testing, including drug screen|| and pregnancy tests Other tests, as indicated by the history or physical examination

Treatment, referral, physician's clinical comments Specify Witness to examination Signature Disposition of evidence Name of the person who delivered the evidence and the person who received it Date and time of delivery and receipt

Thank you.

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