Checklist of Possible Indicators of Abuse and Neglect

 Sexual Abuse: Physical Indicators
Pain, soreness,
  • Pain or soreness in genital area, including rectum
  • Redness or soreness of vagina, penis, and rectum
  • Lower abdominal pain
  • Difficulty walking or sitting due to discomfort in the genital area
  • Sores or bumps on skin of and around genitals
  • Unusual sores or bumps on lips or around mouth
  • Discharge from the vagina or rectum
  • Burning on urination
  • Complaining of burning around the vagina or rectum
  • Going to the bathroom more frequently
  • Diagnosis of repeated urinary tract infections
  • Bleeding from the vagina or rectum
  • Blood in the urine or stool
  • Turned, stained, or bloody underclothing
  • Bruises in genital area, including on the thighs
  • Bruises to the hard or soft palate
 Foreign body
  • Foreign body in vagina or rectum
 Diagnosis of
a sexually
transmitted infection
including HIV
  • Commonly, gonorrhea, syphilis, chlamydia, trichomoniasis, genital herpes, venereal warts (always reportable in a child under 12)
  • Common in pre-teens and teens
  • Especially in early adolescent years (always reportable in a child

under 12)