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There is even less certainty about the extent to which anal signs seen in children with no disclosure or suspicion should raise concern about possible CSA and the need for further investigation. Abstract Background There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. Funding No funding obtained. Unusual, irregular or asymmetrical folding of the perianal skin radiating from the anal verge. Training grade examiners reported fewer examinations where these signs were present than fully trained forensic paediatricians cases: A true transcendence is stronger than the laws of physics and can override all ordinary blocks. If present, anal signs may be used in children with a disclosure of CSA to provide corroboration for court proceedings, but it is not currently clear how much reliance can be placed on which signs.

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There is even less certainty about the extent to which anal signs seen in children with no disclosure or suspicion should raise concern about possible CSA and the need for further investigation. Yes I agree with david but if I had to choose it would be the coloured guys cock that would be giving me the ultimate pleasure 1 0 Reply Submit Reply. Final approval of the version to be published. I wish 1 0 Reply Submit Reply. A total of 19, children were seen and reported for child protection concerns in Leeds from January to Decemberof whom 3, were categorized by the examining doctor as likely CSA.

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