Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
_Caution._--Unhealthy children, and those recovering
from some debilitating diseases--fever, &c.,--may suffer
from purulent discharges from the vagina. Small ulcers
may also be present, and may be mistaken for syphilitic
ulceration Infantile leucorrhœa is not uncommon.
(Percival‘s _Medical Ethics_.)
(_c_) _Hæmorrhage or Dried Blood about the Genital Organs._--(1)
Frequently absent in young children. (2) Always found in adults,
virgins at the time the rape was committed, when the vessels of the
hymen are ruptured.
(_d_) _Destruction of the Hymen._--Most frequently, and especially in
young girls, one or more _lacerations_ of the hymen may be seen. These
lacerations must be looked for within five or six days of the alleged
rape, as they soon heal up, and then no certain opinion can be given
as to the date of their infliction. They may also be produced by any
foreign body to substantiate a charge of rape.
(_e_) _Dilatation of the Vagina._--This condition may be produced by
the passage of hard bodies in order to substantiate a false charge of
rape. Casper once examined a girl, only ten years of age, whose mother
had gradually dilated her vagina with her fingers, in order to fit her
for sexual intercourse with men.
(_f_) _General Signs of Rape._--To the above are added certain general
signs, as a _difficulty in walking_, attended with an involuntary
separation of the thighs, common to both children and adults; _pain is
also not infrequently present in passing water_, and when _the bowels
are relieved_. In determining the truthfulness of the statements made
as to an alleged rape, the character of the woman, and the obvious
inconsistencies of her statements must be taken into consideration.
Moreover, if, in addition to the injuries found on the external
genitals, spermatozoa be detected in the vagina, a presumption in
favour of the injuries being due to sexual intercourse will be clearly
made out, but the presence of spermatozoa in the vagina of a woman
is no evidence of rape. Care, however, must be taken not to confound
with spermatozoa an animalcule--_Trichomonas vaginæ_--described by M.
Donné as being sometimes found in the vaginal mucus. The head of the
animalcule is larger than that of a spermatozoon, and is surrounded by
a row of cilia.
[Illustration:
Fig. 19.--Hymen of child of four years--annular type. The illustration
also shows the prominence of the urinary portion of the genitals.
(Glaister.)]
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