The lead Emergency doctor who assessed the unresponsive Charlene Makaza doesn't recall seeing blood when she examined her at Christchurch Hospital's Emergency Department.
Charlene Makaza's adoptive father George Gwaze is on trial accused of the 10-year-old's murder and the sexual violation in January 2007.
Dr Shuh Fen Moy told the High Court about her examinations to ascertain the level of consciousness in Charlene, who she says was in a deep coma.
When questioned by defence lawyer James Rapley, Dr Moy told the court because she was at the head of the bed, she was focused on the upper part of Miss Makaza's body.
The jury have shown graphic photographs of what the Crown says are abnormal injuries to Miss Makaza.
Paediatric Registrar Doctor Melanie England gave evidence of seeing what she called an abnormal tear in the anal area of the 10 year old.
Paediatric staff nurse Susan Wortelboer also told the court she saw abnormalities in Makaza's genital area.
Ms Wortelboer told the court, the medical personnel were focused on getting the 10-year-old stabilised and out of a life-threatening situation.