• Bleeding from mouth, anus or vagina
• External wounds indicating child has been bound at wrists or has been gagged
• Infections that won't heal
• Internal wounds
• Physical ailments; complains of stomach pains
• Swollen areas
• Unexplained injuries or complaints
• Ripped skin
• Bite mark on breasts
• Bite marks on neck - commonly referred to has hickies
• Bruising in multiple layers

Genital Injury Indicating Sexual Abuse

• Boiling water poured over genital area to wash away sin
• Intercourse which tears or rips skin
• Irritated or reddened genitals
• Child has difficultly walking
• Pain or injury to the genital area or mouth
• Sexual organ injuries
• Sexual positions that cause injury
• Tearing vagina or anus, mouth
• Urinary infection or difficulty with urination
• Vaginal or penile discharge
• Bite marks on genitals
• Genital mutilation

Mental Injuries

• Screams or cries not to be left with certain person
• Fear of bathroom, closet or dark enclosed space
• May begin fearing bedroom
• Fear of dark,
• Fear of sleep, bedtime or naps