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Biomedical subjects

W F Enos

Publications and source records attributed to W F Enos.

16 recordsLinked to original sources

Forensic evaluation of the sexually abused child.

Results of a 16-year forensic study of 162 cases are presented. A forensic examination protocol is delineated, laboratory specimens/evidence collection methods given, and an anatomical chart of the prepubescent female genitalia with a pictorial atlas of female abuse trauma provided. The number of child victims per 100,000 at-risk population was static v the population increase and increased v victim's age. More than 80% of all cases and 82.1% of positive cases involved girls. Of all victims, approximately 40% were positive based on history, physical evidence, laboratory evidence, and/or eyewitness deposition. Alleged incestual perpetrators accounted for 21.97% of female and 3.3% of male cases reported and 20% of female and 0% of positive for findings of sexual abuse.

Adolescent↗

Giant cell arteritis detected by bone marrow biopsy.

A case of giant cell arteritis is reported that was detected by bone marrow biopsy. The histopathologic features of the bone marrow lesion included an enlarged artery, whose wall showed intimal thickening, fibrinoid necrosis, destruction of the internal elastic lamina, and multinucleated giant cells. The demonstration of involvement of bone marrow vessels by giant cell arteritis reaffirms the systemic nature of the disease. Bone marrow biopsy is not the method of choice for establishment of the diagnosis of giant cell arteritis, but it may lead to the diagnosis in rare instances.

Arteries↗

Unilateral lobar pneumonia with empyema caused by Neisseria gonorrhoeae.

A 62-year-old woman died of a combination of pneumonia, empyema, emphysema, and severe heart disease. The pneumonia was due to Neisseria gonorrhoeae, a rarely if ever reported causative agent in pulmonary infection. Autopsy ruled out other sites from which the organism could have originated.

Female↗

Prostatic acid phosphatase, aspermia, and alcoholism in rape cases.

In a few alleged rape cases, examination of vaginal secretions will be negative for spermatozoa but positive for significant levels of prostatic acid phosphatase. These laboratory results can occur in cases in which the accused is known to have sired children. The most common etiologic factors for the aspermia are vasectomies and chronic alcoholism with or without cirrhosis.

Acid Phosphatase↗

Drug identification through analysis of maggots.

The examination of insect larvae from decomposed bodies not only can serve in the estimation of the postmortem interval but also can be used in qualitative identification of drug substances.

Adult↗

Management of the rape victim.

If a rape crisis center and specialized personnel are not available, the family physician can adequately examine and treat the rape victim as well as collect and properly handle all the required medical evidence. The detailed history has several facets. Laboratory confirmation can be obtained for prior consensual intercourse, sodomy and other special aspects. Treatment is indicated for the prevention of venereal disease and pregnancy. Psychologic support is essential. The physician's examination and testimony can play an important legal role.

Female↗