Checklist of Possible Indicators of Abuse and Neglect - Preventing and Reporting Child Abuse

Sexual Abuse: Physical Indicators
Pain, soreness, itching	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
Lesions	Sores or bumps on skin of and around genitals Unusual sores or bumps on lips or around mouth
Discharge	Discharge from the vagina or rectum
Burning	Burning on urination Complaining of burning around the vagina or rectum Going to the bathroom more frequently Diagnosis of repeated urinary tract infections
Bleeding	Bleeding from the vagina or rectum Blood in the urine or stool Turned, stained, or bloody underclothing
Bruises	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
Pregnancy	Especially in early adolescent years (always reportable in a child under 12)