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CASE PRESENTATION 1

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Translation; 2004-05-11

History
29¼¼·Î ¼º°æÇèÀÖ´Â ¹éÀÎÀ¸·Î Á¡¿øÀ¸·Î ÀÏÇÏ´Â ¿©¼º, ¼ºÆøÇàÈÄ 5½Ã°£ÀÌ °æ°úÇÏ¿© ÀÀ±Þ½Ç·Î ¿Ô´Ù. ±×³à´Â È£ÅÚ¿¡¼­ ³²ÀÚÄ£±¸°ú µ¥ÀÌÆ®¸¦ ÇϰíÀÖ¾ú´Ù. ±×µéÀº ¸ÆÁÖ¸¦ ¸¶½Ã°í ÅÚ·¹ºñÁ¯À» º¸¾Ò´Ù. ±×³à´Â ¼½½º(¼º±â»ðÀÔ)À» °ÅºÎÇß¾ú´Ù. »õº® 5½Ã, ±×´Â ±×³à¸¦ ±ú¿ö¼­ °­Á¦·Î ¼º°ü°è¸¦ ÇÏ·Á°íÇß´Ù. ±×ÀÇ ¸ö¹«°Ô¿Í ±×ÀÇ ÆÈÀ» »ç¿ëÇÏ¿© ±×´Â ±×³àÀÇ ´Ù¸®¸¦ ÈûÁÖ¾î ¹ú¸®´Â ¹Ù¶÷¿¡ ±×³àÀÇ ´Ù¸®¿¡ ±×ÀÇ ¼ÕÀÚ±¹ÀÌ ³µ´Ù. ¹Ýµå½Ã µå·¯´©¿î »óÅ¿¡¼­ ±×³àÀÇ Ãø¸é¿¡¼­ ±×³àÀÇ Áú¿¡ ±×ÀÇ ¼º±â¿Í ¼Õ°¡¶ôÀ» µÎ¼¼Â÷·Ê Áý¾î³Ö¾ú´Ù. ±×´Â ±×ÀÇ ¼º±â·Î Á÷Àå»ðÀÔÀ» ½ÃµµÇß´Ù.(»ðÀÔ½ÇÆÐ) ±×³àÀÇ °¡½¿°ú ¸ñ¿ÞÂÊ ºÎºÐÀ» »¡¾Ò´Ù. ±×¸®°í ±×³àÀÇ ÀÔ¼úÀ» »¡¸é¼­ " ³ª¸¦ »ç¶ûÇÑ´Ù°í À̾߱âÇØÁà~" °Ë»çÇϴµ¿¾È ±×³à´Â Çã¹÷ÁöÀÇ ÅëÁõ°ú µÎÅëÀ» È£¼ÒÇß´Ù.

Laboratories
Rapid plasma reagin(RPR)(nonreactive), Chlamydia trachmoatis(negative); Neisseria gonorrhea(negative); Human chorionic gonadotropin(HCG)(negative)
¸Åµ¶°Ë»ç(¹ÝÀÀ¾øÀ½), Ŭ¶ó¹Ìµð¾Æ ¼ºº´°Ë»ç(À½¼º), ÀÓÁú °Ë»ç(À½¼º), À¶¸ð¸·¼º¼±ÀÚ±ØÈ£¸£¸ó°Ë»ç(ÀӽŰ˻ç)(À½¼º)

Photographs
On examination, you find following
1. External genitalia(figure 5-1) (*15)
¿Ü¼º±â
2. External genitalia, after toluidine blue dye application and decoloration (figure 5-2) (*15)

¿Ü¼º±â, Åç·ç¿£ ºí·ç´ÙÀÌ Àû¿ëÇÔ

Conclusion
The physical finding (are/ are not) consistent with the history and timing of the reported assault
ÇÇÇØÀÚÀÇ ¼ºÆø·Â Áø¼ú°ú ÀÏÄ¡ÇÏ´Â ¹°¸®ÀûÀÎ Áõ°Å¸¦ »ìÆìº½

ACTUAL FINDING AND OUTCOME

Findings and Photographs
1. laceration of the posterior fourchette; swelling and redness of the labia minora from 3 o'clock to 9 o'clock (5-3)
1. À½¼ø¼Ò´ëÀÇ »óó(¿­»ó) ; ¼ÒÀ½¼øÀÌ º×°í ¹ú°³Áü
2. distinct toluidine blue dye uptake confirming the laceration of the posterior fourchette; dye uptake from 3 o'clock to 9 o'clock on the labia minora extending to the posterior fourchette (5-4)
2. Åç·çÀ̵ò ºí·ç´ÙÀ̰¡ ÀÛ¿ëÇÏ¿© À½¼ø¼Ò´ëÀÇ »óó¸¦ È®½ÇÇÏ°Ô º¸¿©ÁÖ°í ÀÖ´Ù.

Actual Conclusion
the findings are consistent with the history and timing of forceful penile vaginal penetration
¼ºÆø·Â°úÁ¤°ú ÀÏÄ¡ÇÏ´Â °­¾ÐÀûÀÎ Áú»ðÀÔ(Æä´Ï½º·Î)¿¡ ´ëÇÑ Áõ°Å¸¦ ãÀ½.


Care and Treatment
»ý·«

Outcom
ÇÇÇØÀÚ´Â °í¼Ò¸¦ ÇÏÁö ¾Ê¾Ò´Ù. ÇÇÇØÀÚ°¡ ¸»Çϱæ "¹ýÀûÀ¸·Î ½Â»êÀÌ ¾øÀ»°ÍÀÌ´Ù. ¿Ö³ÄÇÏ¸é ³ª´Â ¼ºÆøÇàÀ» ´çÇѵڿ¡µµ ±×¿Í ÇÔ²² È£Åڹ濡¼­ ¸Ó¹°·¶¾ú´Ù."

Perpetrator Classification
ÀÌ °¡ÇØÀÚ´Â 32¼¼·Î, Æä½ºÆ®-Ǫµå ·¹½ºÅä¶û °ü¸®ÀÎÀ¸·Î ÀÏÇϰíÀÖ½À´Ï´Ù. ÇÇÇØÀÚÀÇ ¸»¿¡ÀÇÇÏ¸é ±×´Â ¿Ü·Î¿î »ç¶÷ÀÌ¿´½À´Ï´Ù. ±×´Â ÈûÀ¸·Î-¾È½É½ÃŰ´Â ·ùÀÇ °­°£¹üÀÌ¿´½À´Ï´Ù.(°©ÀÛ½º·´°Ô °­°£À» ½ÃµµÇÑÁ¡°ú Æø·ÂÀÌ º°·Î¾ø¾ú´ø Á¡) ÇÇÇØÀÚÀÇ Áø¼ú¿¡ ÀÇÇÏ¸é °¡ÇØÀÚ´Â ÀÚ½ÅÀÇ ¾Ö¹«¿¡ ÇÇÇØÀÚ°¡ È£ÀÀÇØÁֱ⸦ ¹Ù·¨¾ú½À´Ï´Ù. ¶ÇÇÑ °¡ÇØÀÚ´Â ±â³äÀ¸·Î ±×³àÀÇ ÆÒƼ¸¦ °¡Á®°¬½À´Ï´Ù. ¼ºÆø·ÂÀÌ ÀϾ µÚ¿¡, ¾ÆÄ§´Ê²²±îÁö µÑÀº ÇÔ²² Áö³Â°í, ±×´Â ±×³à¿Í Áø½ÉÀ¸·Î »ç±Í·Á°í Çß¾ú½À´Ï´Ù.


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