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Befunde und Klassifikation

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Kindesmisshandlung

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Zusammenfassung

Mittlerweile gibt es eine Fülle von klinischen Daten über medizinische Befunde bei sexuell missbrauchten Kindern aus zahlreichen Fallkontrollstudien und Kasuistiken. Hinweise zu ihrer Beurteilung und Klassifizierung und zu ihrer Differenzierung von Normvarianten und anderen Differenzialdiagnosen existieren entsprechend. Dennoch ist der forensische medizinische Beweis eines sexuellen Missbrauchs die Ausnahme. Beweisend sind massive, akute anogenitale Verletzungen, die nicht akzidentell erklärbar sind, eine gesicherte Gonorrhö oder Syphilis (nach Ausschluss einer angeborenen Infektion), eine Schwangerschaft oder der Nachweis von Sperma in oder auf dem Körper eines Kindes. Für eine Reihe von Befunden, die als missbrauchsverdächtig gelten, ist die Zuordnung mit Unsicherheiten behaftet, da die Datenlage für eine definitive Bewertung noch unzureichend ist.

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(2010). Befunde und Klassifikation. In: Kindesmisshandlung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-10206-6_9

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  • DOI: https://doi.org/10.1007/978-3-642-10206-6_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-10205-9

  • Online ISBN: 978-3-642-10206-6

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