In sexual battery cases, prosecutors often present medical evidence as if it proves the crime occurred. A nurse examines the alleged victim, documents injuries, and concludes they are “consistent with forced sexual trauma.”

But “consistent with” is not the same as “caused by.” Injuries that appear consistent with assault may have other explanations—including timing that does not match the alleged incident or causes unrelated to the accusations.

In this case, a forensic pathologist reviewed the photographic evidence from a rape examination and reached a conclusion that contradicted the nurse’s findings: the injuries were not recent, and they could have been caused by something entirely different.  I am Tampa Criminal Defense Attorney Rocky Brancato. This post is part of our forensic series put out by the Brancato Law Firm, P.A., your Tampa criminal forensic evidence law firm.

The Case: An Accusation Against a Boyfriend

My client was accused of raping his girlfriend. She reported the alleged assault, underwent a forensic examination, and my client was charged with sexual battery.

The state’s case relied heavily on the medical evidence. A Sexual Assault Nurse Examiner (SANE) had conducted the examination, documented injuries to the victim’s genital area, and concluded that the findings were “consistent with forced sexual trauma.”

On its face, this looked like powerful evidence. But I knew that SANE nurse conclusions are not the final word—they are opinions that can be challenged by experts with more specialized training.

The Evidence: Colposcope Photos and Medical Records

The forensic examination had produced detailed photographic evidence, including colposcope images of the alleged victim’s genital area.

The SANE nurse had reviewed these images and documented her conclusion: the injuries were consistent with forced sexual trauma. This conclusion would be presented to the jury as evidence that the alleged rape had occurred.

But there was more to the story. The investigation had also revealed that the alleged victim possessed a personal vibrating device—commonly called a “silver bullet”—that she used regularly.

This detail raised an important question: could the documented injuries have been caused by something other than the alleged assault?

The Expert: A Forensic Pathologist Reviews the Evidence

I retained a forensic pathologist to conduct an independent review of the photographic evidence and medical records from the examination.

Unlike the SANE nurse, the forensic pathologist had extensive training in evaluating wound characteristics, including the ability to assess the age and timing of injuries based on their appearance.

The expert reviewed the colposcope photographs carefully, examining the characteristics of the documented injuries.

The Expert’s Findings

The forensic pathologist’s conclusions directly contradicted the SANE nurse’s opinion:

What the Expert’s Findings Meant for the Case

The forensic pathologist’s opinion undermined the prosecution’s central piece of medical evidence:

• The SANE nurse said the injuries were “consistent with forced sexual trauma”—but the forensic pathologist found they were not recent enough to match the alleged assault
• The prosecution would argue the injuries proved the rape occurred—but an alternative explanation existed that was equally consistent with the physical findings
• The jury would have to decide whether to believe the accuser’s account or the physical evidence suggesting a different timeline and cause

This was not about whether the alleged victim had injuries. She did. The question was whether those injuries were caused by my client—or by something else entirely.

SANE Nurse vs. Forensic Pathologist: Different Training, Different Conclusions

What This Case Teaches About Challenging Medical Evidence

• “Consistent with” does not mean “caused by.” SANE nurse conclusions are opinions, not facts. An injury consistent with assault may also be consistent with other causes.
• Timing matters. A forensic pathologist can evaluate whether injuries are recent or older—and whether the timing matches the alleged incident.
• Alternative explanations must be investigated. Defense attorneys should explore whether documented injuries could have been caused by something other than the alleged assault.
• Forensic pathologists outrank SANE nurses in medical expertise. When the state presents a nurse’s opinion, a physician with specialized training can provide a more authoritative counter-opinion.
• Request all photographic evidence. Colposcope images and other photographic evidence can be reviewed independently by defense experts who may reach different conclusions.

Frequently Asked Questions

Facing Sexual Battery Charges Based on Medical Evidence?

Medical evidence in sexual assault cases is often presented as if it proves guilt. But SANE nurse conclusions are opinions—not facts—and they can be challenged by experts with more specialized training.

For over 25 years, I have defended clients against serious charges in Tampa Bay. I know how to obtain and analyze forensic examination evidence, retain qualified experts to challenge prosecution conclusions, and present alternative explanations to the jury.

Call (813) 727-7159 for a Confidential Consultation

The Brancato Law Firm, P.A.

620 E Twiggs Street, Suite 205, Tampa, FL 33602

Serving Hillsborough, Pinellas, and Pasco Counties

Part of the Forensic Evidence Series

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Why Expert Witnesses are Not Optional in Major Crimes Cases

When prosecutors charge someone with murder based on medical evidence, they rely on state experts—medical examiners, Child Protection Team doctors, and forensic analysts. These experts shape the entire case. And when they get it wrong, the consequences can be catastrophic.

In this case, my client—a grandmother—faced first-degree murder and aggravated child abuse charges after the death of her young granddaughter. According to the prosecution’s theory, she had beaten the child so severely that the child died from internal injuries, including a lacerated liver.

The Child Protection Team doctor reached an early and firm conclusion: the injuries could only have resulted from intentional, inflicted trauma. Once that opinion was issued, the entire system mobilized against her.

However, I knew that expert opinions are only as good as the analysis behind them. And in this case, the state’s analysis was fatally flawed. I am Tampa Criminal Defense Attorney Rocky Brancato. This post is part of our forensic series put out by the Brancato Law Firm, P.A., your Tampa criminal forensic evidence law firm.

Why I Brought in a Former State Medical Examiner

As always, I began with the medical records—every page, note, and image. But I knew that challenging the state’s medical conclusions would require more than my own analysis. I needed an expert whose credentials would be impossible to dismiss.

So I retained a former state medical examiner—someone who had performed thousands of autopsies, testified in courts across Florida, and whose opinion would be extremely difficult for prosecutors to discredit. Most importantly, he knew exactly what to look for when state experts rush to judgment.

His first directive was clear: Get the slides.

What the Expert Found That the State Missed

We obtained the slides, along with scene photographs, hospital records, and the original autopsy report. As my expert reviewed everything with fresh eyes, he noticed something subtle in the scene photos from the family’s home: medical waste.

Specifically, tools used to revive the child—airways, suction devices, trauma equipment—were strewn about the scene. The state’s experts had focused entirely on the injuries. My expert asked a different question: what caused them?

This opened an entirely new line of inquiry that the prosecution had never considered.

The Expert’s Conclusion: A Completely Different Cause of Death

After careful analysis, my expert concluded that the child had drowned in the bathtub—a tragic accident that occurred while the grandmother was briefly out of the room.

Furthermore, he determined that the liver injury was consistent with aggressive resuscitation efforts, not a beating. Emergency responders had tried everything to revive the child. In doing so, their chest compressions—on a child that small—could have caused internal trauma that was later misinterpreted as inflicted abuse.

The truth, it turned out, was more complicated than the original accusation.

The Truth Behind the Tragedy

Yes, the grandmother had been negligent. She had been moving back and forth between the bathroom and the kitchen, where she was preparing dinner. She was not paying close enough attention. Tragically, her inattention had a devastating consequence.

But she was not a murderer. And she was not a child abuser.

We took these findings to the prosecution. Faced with the expert’s analysis and the alternative explanation supported by the evidence, they had a choice to make.

Why the Right Expert Made All the Difference

This was not a case of total innocence—but it was a case of gross overreach by prosecutors who trusted their experts without question. Without my own forensic pathologist, the distinction might never have come to light.

Had we not obtained those autopsy slides… had we not examined those scene photographs closely… had we not brought in an expert who knew what questions to ask… my client would have been painted as a monster instead of a flawed caretaker.

She likely would have died in prison, branded forever as someone she never was. The right forensic pathologist expert changed everything.

Frequently Asked Questions

What is a forensic pathologist expert witness?

A forensic pathologist is a medical doctor who specializes in determining cause and manner of death. When retained by the defense, they review autopsy reports, tissue slides, scene photos, and medical records to challenge the state’s conclusions. Their testimony can be decisive in murder, manslaughter, and child death cases.

Why should I hire a former state medical examiner?

Former state medical examiners carry exceptional credibility because they once worked for the government. Consequently, prosecutors and juries find it difficult to dismiss their opinions as biased. They also understand exactly how state experts reach their conclusions—and where those conclusions can be challenged.

What are autopsy slides and why do they matter?

Autopsy slides are microscopic tissue samples preserved on glass slides during autopsy. They can reveal critical details about timing and mechanism of injuries that gross examination may miss. As a result, defense attorneys should always request these slides in death cases.

Can CPR cause injuries that look like child abuse?

Yes. Aggressive chest compressions during resuscitation can cause rib fractures, liver lacerations, and other internal injuries—especially in young children. Therefore, a forensic pathologist must carefully distinguish between injuries caused by abuse and injuries caused by life-saving efforts.

How do you challenge a Child Protection Team doctor’s opinion?

Challenging a CPT doctor requires retaining your own forensic expert—ideally a former medical examiner or forensic pathologist. Most importantly, this expert must review all evidence independently, including autopsy slides, scene photos, and medical records, to develop an alternative explanation that the CPT doctor missed.

When should I hire a forensic pathologist for my case?

You should consider a forensic pathologist expert whenever your case involves disputed cause of death, child fatality allegations, medical evidence interpretation, or challenges to autopsy findings. In serious cases like murder or manslaughter, retaining the right expert early can change the entire trajectory of your defense.

Facing Charges Based on Medical Evidence?

When prosecutors build cases around medical evidence—autopsies, Child Protection Team opinions, forensic analysis—they expect defendants to accept their experts’ conclusions without challenge. Unfortunately, without your own forensic pathologist to review the evidence, you may never know what the state got wrong.

For over 25 years, I have defended clients against the most serious charges in Tampa Bay. As a result, I understand how to identify the right forensic experts, obtain the evidence they need to review, and build a defense that challenges the state’s medical conclusions.

Call (813) 727-7159 for a Confidential Consultation

The Brancato Law Firm, P.A.

620 E Twiggs Street, Suite 205, Tampa, FL 33602

Serving Hillsborough, Pinellas, and Pasco Counties

Related Case Studies: DNA Evidence Defense | Aggravated Child Abuse Defense | Fingerprint Evidence is Not as Reliable as You Think | Cell Phone Location Data Can prove You Were Not There | When Brain Damage Explains Criminal Conduct | Your BAC at the Station is Not Your BAC Behind the Wheel | When Police Destroy Evidence They Do Not Get the Benefit of the Doubt | When a Confession is Not a Confession | When the Car–Not the Driver–Caused the Crash | The Injuries Were Real–But They Were Not From the Alleged Rape | Similar Is not The Same: How a Firearms Expert Kept Out Prejudicial Evidence

Related Pages

• Tampa Murder Attorney
• Tampa Sex Crimes Attorney
• Tampa Child Abuse Attorney