PMID- 32716259
OWN - NLM
STAT- MEDLINE
DCOM- 20210813
LR  - 20210813
IS  - 2042-1834 (Electronic)
IS  - 0025-8172 (Linking)
VI  - 88
IP  - 4
DP  - 2020 Dec
TI  - When sexual offence is an unexpected diagnosis - exploration of medical, legal 
      and social aspects in Nepalese scenario.
PG  - 192-195
LID - 10.1177/0025817220935878 [doi]
AB  - In Nepal, following allegations of sexual assault, the survivor is taken by the 
      police to a Government Hospital for medical examination and sample collection. To 
      provide an integrated service to survivors of gender-based violence, a One-Stop 
      Crisis Management Centre (OCMC) is established in many Government Hospitals. 
      However, paediatric survivors of sexual abuse frequently seek initial care at the 
      emergency department, as most present with a medical complaint rather than for 
      sexual abuse. It is therefore important to train emergency physicians with the 
      skills required to identify the features and diagnose a case of sexual assault. 
      We present a case where the diagnosis of sexual assault of a child was an 
      incidental finding and discuss the challenges faced in dealing with such cases in 
      non-OCMC Hospital.
FAU - Atreya, Alok
AU  - Atreya A
AD  - Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal.
FAU - Shrestha, Rijen
AU  - Shrestha R
AD  - Department of Forensic Medicine, Maharajgunj Medical Campus, Institute of 
      Medicine, Kathmandu, Nepal.
FAU - Nepal, Binu
AU  - Nepal B
AD  - Lumbini Medical College, Palpa, Nepal.
FAU - Nepal, Samata
AU  - Nepal S
AD  - Department of Community Medicine, Lumbini Medical College, Palpa, Nepal.
FAU - Shrestha, Deepak
AU  - Shrestha D
AD  - Department of Obstetrics and Gynecology, Lumbini Medical College, Palpa, Nepal.
FAU - Mahato, Sweta
AU  - Mahato S
AD  - Department of Obstetrics and Gynecology, Lumbini Medical College, Palpa, Nepal.
LA  - eng
PT  - Case Reports
DEP - 20200727
PL  - England
TA  - Med Leg J
JT  - The Medico-legal journal
JID - 0412004
SB  - IM
MH  - Child
MH  - Child Abuse, Sexual/*diagnosis/*legislation & jurisprudence
MH  - Female
MH  - Humans
MH  - Incidental Findings
MH  - Nepal
MH  - Physical Examination
MH  - Tertiary Care Centers
MH  - Uterine Hemorrhage/*etiology
OTO - NOTNLM
OT  - Child sexual abuse
OT  - Nepal
OT  - OCMC
OT  - incidental finding
EDAT- 2020/07/28 06:00
MHDA- 2021/08/14 06:00
CRDT- 2020/07/28 06:00
PHST- 2020/07/28 06:00 [pubmed]
PHST- 2021/08/14 06:00 [medline]
PHST- 2020/07/28 06:00 [entrez]
AID - 10.1177/0025817220935878 [doi]
PST - ppublish
SO  - Med Leg J. 2020 Dec;88(4):192-195. doi: 10.1177/0025817220935878. Epub 2020 Jul 
      27.