What is one specific finding that may indicate sexual abuse?

A non-midline perianal scar is a specific finding that may indicate sexual abuse. This is because scarring located on one side of the anal region rather than along the midline can suggest possible trauma or injury that is not consistent with typical activities or accidents seen in children. When assessing for signs of sexual abuse, healthcare professionals look for physical signs that could allow them to discern normal developmental variations from potential trauma resulting from abusive situations.

While prepubescent breast development, excessive bruising on limbs, and frequent urinary tract infections can all occur in various contexts, they are not as definitive as a non-midline perianal scar when it comes to indicating sexual abuse. Breast development could occur harmlessly due to other factors such as hormonal influences, bruising can occur from normal play, and urinary tract infections, while they may be common in children, have many non-abuse related causes. Hence, the presence of a non-midline perianal scar is more indicative of potential sexual abuse.