In Goldade v. State (1983), the child victim of abuse by the mother was declared an incompetent witness because she was too shy and overwhelmed to respond to questions in court. Consequently, the State introduced the nurse and physician who had examined the child in the emergency room. Both repeated the child's statement to them attributing the bruises to her mother. The court ruled these statements were admissible under Rule 803(4), the medical diagnosis or treatment exception to the hearsay rule. This was upheld on appeal. The Wyoming court acknowledged that the procedural value of other courts' interpretations of Rule 803(4) was outweighed by the importance of alleviating the serious problem of family abuse, contended that the physician had to know the identity of the assailant to make a decision whether to place the child in protective custody, and that a liberal approach to the rule in child abuse cases was a logical extension of Wyoming's policy in child death cases. Because the U.S. Supreme Court has not delineated a standard for determining the constitutionality of specific applications of the hearsay exceptions, courts will have to decide this issue on a case-by-case basis. The article includes 604 footnotes.