Abstract:The recent controversy surrounding the use of the reflex anal dilatation (RAD) sign in cases of suspected sexual abuse is a general illustration of the difficulties clinicians face in determining which symptoms, signs or laboratory tests to use in their daily practice. The evidence required fully to evaluate RAD is incomplete. The specificity in particular is uncertain. Sufficient evidence is, however, available to permit a quantitative examination of the test's performance under various circumstances. Our ana… Show more
“…30 Conflict exists in the literature about the significance of anal dilation as a marker of previous sexual abuse with anal penetration. [31][32][33] Its presence should not be considered specific evidence of anal assault. 34 …”
Section: Anal Anatomy In Male and Female Childrenmentioning
“…30 Conflict exists in the literature about the significance of anal dilation as a marker of previous sexual abuse with anal penetration. [31][32][33] Its presence should not be considered specific evidence of anal assault. 34 …”
Section: Anal Anatomy In Male and Female Childrenmentioning
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