13, Aug, 2017
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EXAMINATION FOR THE PRESENCE OF SEMEN IN MEDICOLEGAL CASES

Written by on Sunday, 13 August 2017 17:08
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EXAMINATION FOR THE PRESENCE OF SEMEN IN MEDICOLEGAL CASES Colposcope (A) and method of examination (B). This technique is not a standard intervention by an emergency physician.

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This includes examination of material obtained from vagina, stains from clothing, skin, hair, or other body parts for semen. This is carried out in cases of alleged rape or sexual assault.

Collection of Sample

  • Vagina: Direct aspiration or saline lavage
  • Clothing: When scanned with ultraviolet light, semen produces green white fluorescence. A small piece (1 m2) of clothing from stained portion is soaked in 1-2 ml of physiologic saline for 1 hour. A similar piece of clothing distant from the stain is also soaked in saline as a control.

LABORATORY PROCEDURES

1. MICROSCOPIC EXAMINATION FOR SPERMS

Presence of motile sperms in vaginal fluid indicates interval of < 8 hours. Smears prepared from collected samples are stained and examined for the presence of sperms.

2. ACID PHOSPHATASE

Acid phosphatase is determined on vaginal or clothing samples. Due to the high level of acid phosphatase in semen, its presence indicates recent sexual intercourse. Level of ≥50 U/sample is considered as positive evidence of semen.

3. DETERMINATION OF BLOOD GROUP SUBSTANCES

When semen is positively identified in vaginal fluid or other sample, test can be carried out for the presence of blood group substances in the same sample. The ‘secretor’ individuals (80% individuals are secretors) will secrete the blood group substances in body fluids, including semen.

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4. FLORENCE TEST

This test detects the presence of choline found in high concentration in semen. To several drops of sample, add equal volume of reagent (iodine 2.54 g, potassium iodide 1.65 g, distilled water 30 ml); in positive test rhombic or needle-like crystals of periodide of choline form. False-positive tests can occur due to high choline content of some other body fluids.

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Last modified on Tuesday, 29 May 2018 04:58
Dayyal Dg.

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Clinical laboratory professional specialized to external quality assessment (proficiency testing) schemes for Laboratory medicine and clinical pathology. Author/Writer/Blogger

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