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CASE PRESENTATION 5
ºó¹è~~ Translation; 2004-05-11
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History
21¼¼ÀÇ ÀÇȸ¿¡¼ ÀÏÇÏ´Â ¼º°æÇèÀÖ´Â ±âÈ¥ ¹éÀο©¼ºÀÌ ¼ºÆøÇàµÚ 7½Ã°£ÀÌ °æ°úÇÏ¿© ÀÀ±Þ½Ç¿¡ ¿Ô½À´Ï´Ù. ±×³à´Â ÀÏÇÏ·¯ °¡·Á°í ÁغñÇϰí ÀÖ¾ú´Âµ¥, ±×ÀÇ ³²ÆíÀÌ ±×³à¸¦ ħ´ëÀ§·Î ¹Ð¾î ³Ñ¾î¶ß·È½À´Ï´Ù. ±×³àÀÇ ¹Ý¹ÙÁö¾ÈÀ¸·Î ¼ÕÀ» Áý¾î³Ö¾î, ±×³àÀÇ Áú¿¡´Ù ¼Õ°¡¶ôÀ» Áý¾î³Ö¾ú½À´Ï´Ù. ±×³à´Â "½È¾î, ±×¸¸ÇØ!" ¶ó ¸»ÇÏ¸é¼ ³²ÆíÀ» ¹ÐÄ¡¸ç ÀúÇ×Çß½À´Ï´Ù. ±×´Â "´ÚÃÄ!" ¶ó°í ¸»ÇÏ¸ç ±×³àÀÇ ¹Ý¹ÙÁö¸¦ ¹þ±â°í ¼º±â¸¦ °¡Áö°í ±×³àÀÇ Áú¿¡´Ù »ðÀÔÇß½À´Ï´Ù. ±×´Â Áú ¾È¿¡´Ù »çÁ¤À»Çß½À´Ï´Ù. ±×µéÀÇ µÎ ¾ÆÀ̵éÀÌ ÀÌ ÁöÄѺ¸¾Ò½À´Ï´Ù. ±×³à´Â
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. Cervix (figure 5-23) (*15)
ÀڱðæºÎ
The physical finding (are/ are not) consistent with the history and timing of the reported assault
ÇÇÇØÀÚÀÇ ¼ºÆø·Â °úÁ¤°ú ÀÏÄ¡ÇÏ´Â ¹°¸®ÀûÀÎ Áõ°Å¸¦ »ìÆìº½

ACTUAL FINDING AND OUTCOME
Findings and Photographs
1. Petechiae around the cervical os from 11 o'clock to 6 o'clock (5-24)
All other sites were normal. The fallow-up examination, conducted at 1 month postasssult, reveal the same petechiae pattern around cervical os.
ÀڱðæºÎ ÀÔ±¸ ÁÖÀ§·Î Á¡»óÃâÇ÷ÀÌ º¸ÀÓ. 11½Ã-6½Ã ¹æÇâÀ¸·Î
¸ðµç ´Ù¸¥ ºÎºÐÀº ÀÌ»ó¾øÀ½. ÇÑ´ÞÁ¤µµ Áö³´ÙÀ½¿¡ ´Ù½Ã °Ë»ç¸¦ ÇØ¼ Á¡»óÃâÇ÷ºÎºÐÀ» »ìÆìº¼ Çʿ䰡 ÀÖ½À´Ï´Ù.
Actual Conclusion
the findings are not consistent with the history and timing of forceful digital and penile penetration of the vagina.
¼ºÆø·Â°úÁ¤°ú ÀÏÄ¡ÇÏ´Â °¾ÐÀûÀÎ ¼º±â°áÇÕ(¼Õ°¡¶ô Æ÷ÇÔÇÏ¿©)¿¡´ëÇÑ Áõ°Å´Â ¹ß°ßµÇÁö ¾Ê¾Ò½À´Ï´Ù.

Care and Treatment
»ý·«
Outcom
ÀÛÀº Áõ°Å°¡ ÀÖÀ½¿¡µµ ºÒ±¸ÇÏ°í °¡ÇØÀÚÀÎ ³²ÆíÀº Á˸¦ ÀÎÁ¤ÇÏÁö ¾Ê¾Ò½À´Ï´Ù.
Perpetrator Classification
ÀÌ °æ¿ì´Â ºÐ³ëÇü °°£À¸·Î ºÐ·ùµÉ¼ö ÀÖ½À´Ï´Ù. ºÐ³ëÇü °°£¹ü(°°£¹üÀǺзù)Àº ÀÚ½ÅÀÇ ºÐ³ë¸¦ °°£À» Çϴ°ÍÀ¸·Î Ç¥ÇöÀ» ÇÕ´Ï´Ù. ±×´Â ¿©¼º¿¡°Ô ±¼¿å°¨À» ´À³¢°Ô Çϰųª ³ÆøÇÑ ¹æ¹ýÀ¸·Î È¥³»ÁÖ·Á´Â Àǵµ¸¦ °¡Áö°í ÀÖ½À´Ï´Ù.
±×³à°¡ ´Ù¸¥³²ÀÚ¿Í °£ÅëÀ» ÇØ¼ ³²ÆíÀº Ȱ¡ ³ªÀÖ¾ú½À´Ï´Ù.
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