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Abstract • Photographic documentation of significant findings is an important part of any child abuse evaluation. High-quality photographs of significant physical findings may be important in helping courts to adjudicate whether child abuse has taken place. The physician evaluating abused children should ensure adequate photographic documentation of visible lesions. Physicians who care for abused children should be familiar with the basic principles and techniques of clinical photography. These include good equipment, adequate lighting, and planned composition. Equally important is a working knowledge of camera equipment, film procedure, and medicolegal implications. This review outlines for the practicing physician the basic concepts and techniques of photographing abused children. (AJDC. 1991;145:275-281) References 1. Ford RJ, Smistek, BS. Photography of the maltreated child . In: Ellerstein NS, ed. Child Abuse and Neglect: A Medical Reference . New York, NY: John Wiley & Sons Inc; 1981:315-325. 2. Council on Scientific Affairs. AMA diagnostic and treatment guidelines concerning child abuse and neglect . JAMA . 1985;254:796-800.Crossref 3. Baum E, Grodin MA, Alpert JJ, Glantz L. Child sexual abuse, criminal justice, and the pediatrician . Pediatrics . 1987;79:437-439. 4. Ford RJ, Smistek, BS, Glass JT. Photography of suspected child abuse and maltreatment . Biomed Commun . (July) 1975;3:12-17. 5. Ricci LR. Medical forensic photography of the sexually abused child . Child Abuse Negl . 1988;12:305-310.Crossref 6. Woodling BA, Heger A. The use of the colposcope in the diagnosis of sexual abuse in the pediatric age group . Child Abuse Negl . 1986;10:111-114.Crossref 7. Ladson S, Johnson CF, Doyt RE. Do physicians recognize sexual abuse? AJDC . 1987;141:411-415. 8. Sebben JE. Office photography from the surgical viewpoint . J Dermatol Surg Oncol. 1983;9:763-768.Crossref 9. Teixeira WRG. Hymenal colposcopic examination in sexual offenses . Am J Forensic Med Pathol. 1981;2:209-215.Crossref 10. Woodling B, Kossoris P. Sexual misuse: rape, molestation and incest . Pediatr Clin North Am . 1981;28:481-499. 11. Cordell W, Zollman W, Karlson H. A photographic system for the emergency department . Ann Emerg Med. 1980;9:210-214.Crossref 12. Gilmore J, Miller W. Clinical photography utilizing office staff: methods to achieve consistency and reproducibility . J Dermatol Surg Oncol. 1988;14:281-286.Crossref 13. Morello D, Converse J, Allen D. Making uniform photographic records in plastic surgery . Plast Reconstr Surg. 1977;59:366-372.Crossref 14. Williams AR. Positioning and lighting for patient photography . J Biol Photogr . 1985;53:131-143. 15. Weiss CH. Dermatologic photography of nail pathologies . Dermatol Clin . 1985;3:543-556. 16. Freehe CL. Photography in dentistry: equipment and technique . Dent Clin North Am . 1983;27:3-73. 17. Bernstein ML. The application of photography in forensic dentistry . Dent Clin North Am . 1983;27:151-170. 18. Spring GE. Evidence photography: an overview . J Biol Photogr . 1987;55:129-132. 19. Eaton GT. Proper storage of photographic images . J Audiov Media Med. 1985;8:94-98. 20. Whitesell J. The basics of medical photography in plastic surgery . J Plast Reconstr Surg Nursing . 1981;1:89-92. 21. Reeves C. Pediatric photography . J Audiov Media Med. 1986;9:131-134. 22. Flower MS. Photographs in the courtroom: getting it straight between you and your professional photographer . N Kent State Law Forum . 1974;2:184-211. 23. Scott CC. Photographic Evidence . 2nd ed. St Paul, Minn: West Publishing Co; 1969. 24. Myers JEB, Carter LE. Proof of physical child abuse . Missouri Law Rev. 1988;53:189-224. 25. Luntz LL, Luntz P. Handbook for Dental Identification: Techniques in Forensic Dentistry . Philadelphia, Pa: JB Lippincott Co; 1973.
American Journal of Diseases of Children – American Medical Association
Published: Mar 1, 1991
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