Table 1

Categories of findings from medical assessment

Definite evidence of abuseIncludes witnessed sexual molestation, gonorrhoea infection
Anogenital injuryInjury consistent with suggestion of penetration, not including straddle injury
No anogenital findingsExamination was normal, cannot confirm penetration or deny
No injury, other CM concernsExamination was normal; however, other CM concerns were identified during the assessment
Not consistent with abuse concernsIncludes findings of normal/variant vaginal examination with no disclosure/behavioural change, finding other conditions that mimic, that is, lichen sclerosis, or accidental injury such as a straddle injury.
Refused examinationChild declined consent for the examinations and therefore unable to assess the genitals.