Child abuse impacts up to 14 million or 2–3% of US children each year.
1,200–1,400 children die of maltreatment each year in the US. Of these, 80% <5 yr and 40% <1 yr.
History and mechanism inconsistent with the injury or illness:
Unexplained death, apnea, and injury
Unexplained ingestion or toxin exposure
Diagnosis relies on physical evidence in child and inconsistency with the history and mechanism.
Examination of the scene may be useful:
Evaluate validity of mechanisms
Observation and intervention for traumatic injury
Concerns about disposition or lack of availability of child welfare receiving site, if required
Goal must always ...
A history inconsistent with the physical findings should lead to a suspicion of NAT.
When child abuse is suspected, it must be reported.
American Academy of Pediatrics, Committee on Child Abuse and Neglect. Evaluation of suspected child physical abuse. Pediatrics. 2007;119:1232.
Guenther E, Knight S, Olson LM...
995.50 Child abuse, unspecified
995.53 Child sexual abuse
995.54 Child physical abuse
995.51 Child emotional/psychological abuse
995.52 Child neglect (nutritional)
995.55 Shaken baby syndrome
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