Assault/ Rape
DORRA SEXLOR
D
Description of assault
O
onset
R
Report of assault
R
Recognition of people involved
A
Assult method
S
Sexual assult ?
E
Ejuaculation occurred?
X
X – unknown ==> foreign object used?
L
Latex (Did they use condoms?)
O
Oral, Vaginal or Anal intercourse
ER
Estrogen replacement ( are you on any OCPs?)
PHYSICAL EXAMINATION for Assault Rape:
HEENT:
Head & Neck exam: Inspection, Palpitation (Look for signs of head trauna), Mouth exam: Inspection
Cardiovascular exam:
Auscultation
Pulmonary exam:
Inspection, Auscultation, Palpation, Percussion. (Especially in a patient with SOB & Chest pain)
Abdominal exam:
Inspection, Auscultation, Palpation
Neurologic exam:
Mini Mental Status Exam, Cranial nerves (2-12), Gross Motor & Sensory
Musculoskeletal exam:
Inspection, Palpitation (look for bruises and trauma)
DIFFERENTIAL DIAGNOSIS for Assault Rape:
Sexually Transmitted Infection
Pregnancy
Depression
post traumatic stress disorder
DIAGNOSTIC WORK UP for Assault Rape:
Pelvic exam
Urine Beta-hCG
Wet mount, KOH prep, Cervical Culture, Vaginal pH
XR-Skeletal survey
HIV antibody, VDRL, HBV antigen
Chest X-ray