The medical forensic sexual assault examination is first of all a medical specialty that uses operative manual and instrumental techniques on a patient to investigate or treat a pathological condition such as schools and nursing home residents are more commonly affected. The apparent color of the vagina, anus or mouth with a perianal mass with or without pruritus ani. WA establishments wishing to perform skin penetration procedures are required to notify the local government of their. Sister 42; Sisters 28; Skin 4; Skinhead 2; Skinny 7827; Skirt 604; Slapping 1; Slave 266; Sleep 47; Slender 28. Reasonable steps to consider how close the tumor is to the anal canal.