Child abuse - Revision history

ClaireLewis: Redirected page to Nonaccidental trauma

2019-05-27T21:25:10Z

2019-05-02T17:42:46Z

Clinical Features

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 *Any abrasion or bruise on the abdominal area should prompt an evaluation for possible trauma
 *Consider abuse in preschool aged children with any hollow viscus or pancreatic injury
 ==Differential Diagnosis==

2019-05-02T17:02:43Z

External Links

← Older revision		Revision as of 17:02, 2 May 2019
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	==External Links==		==External Links==
	*[http://pemplaybook.org/podcast/vomiting-in-the-young-child-nothing-or-nightmare/ Pediatric Emergency Playbook -- Vomiting in the Young Child: Nothing or Nightmare]		*[http://pemplaybook.org/podcast/vomiting-in-the-young-child-nothing-or-nightmare/ Pediatric Emergency Playbook -- Vomiting in the Young Child: Nothing or Nightmare]
			*https://www.childhelp.org/wp-content/uploads/2019/02/CPS-Phone-Numbers-2.1.19.pdf

	==References==		==References==

2019-05-02T17:01:42Z

Management

← Older revision		Revision as of 17:01, 2 May 2019
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	==Management==		==Management==
	*Treat injuries as indicated		*Treat injuries as indicated
			*Keep alleged perpetrator separate from the patient if possible and/or keep patient supervised at all times
	*Report abuse to the appropriate state child protection authority		*Report abuse to the appropriate state child protection authority

2019-05-02T16:57:52Z

Fractures

← Older revision		Revision as of 16:57, 2 May 2019
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	**Epiphyseal separations		**Epiphyseal separations
	**Vertebral body separation		**Vertebral body separation
	**Complex [[Skull fracture (peds)\|skull fractures]]		**Complex [[Skull fracture (peds)\|skull fractures]] (i.e. depressed or cross suture lines)
	**[[Pelvic fractures]]		**[[Pelvic fractures]]

2019-05-02T16:57:16Z

Fractures

← Older revision		Revision as of 16:57, 2 May 2019
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	**Spinous process fractures		**Spinous process fractures
	**[[Sternum fracture]]		**[[Sternum fracture]]
	**Fracture not consistent with developmental stage		**Fracture not consistent with developmental stage (any fracture in non-ambulatory child)

	*Fractures moderately suspicious of abuse:		*Fractures moderately suspicious of abuse:

2019-05-02T16:45:28Z

Bruises

← Older revision		Revision as of 16:45, 2 May 2019
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	==Clinical Features==		==Clinical Features==
	===Bruises===		===Bruises===
	*Bruises, ecchymosis, and soft-tissue injuries on the face, cheeks, buttocks, ears, torso, neck of if the child is not cruising yet		*Bruises, ecchymosis, and soft-tissue injuries on the face, cheeks, buttocks, ears, torso, neck if the child is not cruising yet
	*Bruises in clusters or patterned marks		*Bruises in clusters or patterned marks
	*Bruising of any child less than or equal to 6 months of age (or non-ambulatory) warrants a full child abuse work-up		*Bruising of any child less than or equal to 6 months of age (or non-ambulatory) warrants a full child abuse work-up

2019-05-02T16:44:57Z

Bruises

← Older revision		Revision as of 16:44, 2 May 2019
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	==Clinical Features==		==Clinical Features==
	===Bruises===		===Bruises===
	*Bruises, ecchymosis, and soft-tissue injuries on the face, cheeks, ~~back~~, neck of if the child is not cruising yet		*Bruises, ecchymosis, and soft-tissue injuries on the face, cheeks, buttocks, ears, torso, neck of if the child is not cruising yet
	*Bruises in clusters or patterned marks		*Bruises in clusters or patterned marks
	*Bruising of any child ~~under 4~~ months of age warrants a full child abuse work-up		*Bruising of any child less than or equal to 6 months of age (or non-ambulatory) warrants a full child abuse work-up

	===Oral injuries===		===Oral injuries===

2019-01-27T22:57:28Z

Head Trauma

← Older revision		Revision as of 22:57, 27 January 2019
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	===[[Pediatric head trauma\|Head Trauma]]===		===[[Pediatric head trauma\|Head Trauma]]===
	*Leading cause of death in abused children <2 years old		*Leading cause of death in abused children <2 years old
	*Shaken ~~Baby Syndrome~~ - Retinal Hemorrhages		*[[Shaken baby syndrome]] - Retinal Hemorrhages
	**Present in up to 75% of cases and are virtually pathognomonic		**Present in up to 75% of cases and are virtually pathognomonic
	**Described as “dot and blot” hemorrhages or flame or splinter hemorrhages		**Described as “dot and blot” hemorrhages or flame or splinter hemorrhages

2018-05-21T23:11:36Z

← Older revision		Revision as of 23:11, 21 May 2018
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	*Unrealistic expectations for the child		*Unrealistic expectations for the child

	~~==Clinical Features==~~		===Red flags===
	===Red flags:===
	*History given is inconsistent with the mechanism of injury		*History given is inconsistent with the mechanism of injury
	*Changes in caregivers report		*Changes in caregivers report
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	*Other evidence of child neglect.		*Other evidence of child neglect.

			==Clinical Features==
	===Bruises===		===Bruises===
	*Bruises, ecchymosis, and soft-tissue injuries on the face, cheeks, back, neck of if the child is not cruising yet		*Bruises, ecchymosis, and soft-tissue injuries on the face, cheeks, back, neck of if the child is not cruising yet
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	==Disposition==		==Disposition==
	*Admit for medical treatment or if any question of child's safety ~~upon discharge~~		*Admit for medical treatment or if any question of child's safety

	==See Also==		==See Also==
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	==External Links==		==External Links==
	[http://pemplaybook.org/podcast/vomiting-in-the-young-child-nothing-or-nightmare/ Pediatric Emergency Playbook -- Vomiting in the Young Child: Nothing or Nightmare]		*[http://pemplaybook.org/podcast/vomiting-in-the-young-child-nothing-or-nightmare/ Pediatric Emergency Playbook -- Vomiting in the Young Child: Nothing or Nightmare]

	==References==		==References==
	<references/>		<references/>

	[[Category:Pediatrics]]		[[Category:Pediatrics]]