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Normal Examination Findings and Variants

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Handbook of Interpersonal Violence and Abuse Across the Lifespan
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This section reviews normal genital and anal anatomy of prepubertal children. It will describe the physical changes of genitalia that occur as a child moves toward puberty, with particular attention to hymen morphology. Normal variants that will be discussed include notches, clefts, ridges, bands, and midline anatomic features, among others. It is important to master these concepts as many prepubertal exams for sexual abuse may have one of these normal variants.

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  • Adams, J. A., Farst, K. J., & Kellogg, N. D. (2018). Interpretation of medical findings in suspected child sexual abuse: An update for 2018. Journal of Pediatric and Adolescent Gynecology, 31(3), 225–231.

    Article  Google Scholar 

  • Berenson, A. B., Chacko, M. R., Wiemann, C. M., Mishaw, C. O., Friedrich, W. N., & Grady, J. J. (2002). Use of hymenal measurements in the diagnosis of previous penetration. Pediatrics, 109(2), 228–235.

    Article  Google Scholar 

  • Jenny, C., Kuhns, M. L., & Arakawa, F. (1987). Hymens in newborn female infants. Pediatrics, 80(3), 399–400.

    Google Scholar 

  • Kellogg, N. D., & Parra, J. M. (1991). Linea vestibularis: A previously undescribed normal genital structure in female neonates. Pediatrics, 87(6), 926–929.

    Google Scholar 

  • McCann, J., Voris, J., Simon, M., & Wells, R. (1989). Perianal findings in prepubertal children selected for nonabuse: A descriptive study. Child Abuse & Neglect, 13(2), 179–193.

    Article  Google Scholar 

  • McCann, J., Wells, R., Simon, M., & Voris, J. (1990). Genital findings in prepubertal girls selected for nonabuse: A descriptive study. Pediatrics, 86(3), 428–439.

    Google Scholar 

  • Mor, N., & Merlob, P. (1988). Congenital absence of the hymen only a rumor? Pediatrics, 82(4), 679–680.

    Google Scholar 

  • Myhre, A. K., Berntzen, K., & Bratlid, D. (2003). Genital anatomy in non-abused preschool girls. Acta Paediatrica, 92(12), 1453–1462.

    Article  Google Scholar 

  • Sugar, N. F., & Graham, E. A. (2006). Common gynecologic problems in prepubertal girls. Pediatrics in Review, 27(6), 213–223.

    Article  Google Scholar 

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Correspondence to Nicole Ayson .

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Ayson, N., Starling, S. (2020). Normal Examination Findings and Variants. In: Geffner, R., White, J.W., Hamberger, L.K., Rosenbaum, A., Vaughan-Eden, V., Vieth, V.I. (eds) Handbook of Interpersonal Violence and Abuse Across the Lifespan. Springer, Cham.

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  • Print ISBN: 978-3-319-62122-7

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