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Forensic gynaecological examination for beginners: management of women presenting at A&E

Essex Rivers Healthcare Trust, Colchester General Hospital, Turner Road, Colchester, Essex, C04 5JL, UK. (corresponding author)

Helen M James, MRCP, Senior Forensic Physician

Colchester Division, Essex Police.

Women who have been sexually assaulted usually present in casualty within 72 hours of the assault. Around 51% of these will be stranger rapes and these women are more likely to have suffered general body trauma. While resuscitation and Immediate clinical management is the prime concern of the gynaecologist, failure to collect adequate forensic specimens may well deprive the women of closure of the episode as a result of an unsuccessful prosecution of the perpetrator. Thus, the involvement of the forensic medical examiner is vital.

Keywords Keywords / date rape / forensic evidence / sexual assault / sexually transmitted diseases / specimen handing