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Child Abuse

Ashley Nicole Koontz, DO and Jason R. Croad, DO Reviewed 06/2020
 


BASICS

DESCRIPTION

  • Types of abuse: neglect (most common and highest mortality), physical abuse, emotional/psychological abuse, sexual abuse

  • Neglect includes physical (e.g., failure to provide necessary ...

DIAGNOSIS

  • Relatively minor injuries, frenulum tears, or bruising in precruising infants may be the first indications of child physical abuse; these minor, suspicious injuries have been termed “sentine...

TREATMENT

GENERAL MEASURES

If HIV exposure possible, consider prophylaxis. 

MEDICATION

First Line

Antibiotics as indicated for STIs 
ALERT

Emergency contraception reduces rate of pregnancy after sexual assa...

ONGOING CARE

PROGNOSIS

Without intervention, child abuse is often a chronic and escalating phenomenon. 

COMPLICATIONS

Sexual, physical, and emotional abuse in childhood are risk factors for poorer adult ...

REFERENCES

1
U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2019). Child maltreatment 2017...

CODES

ICD10

  • T74.12XA Child physical abuse, confirmed, initial encounter

  • T74.32XA Child psychological abuse, confirmed, initial encounter

  • T74.22XA Child sexual abuse, confirmed, initial encounter

  • T74.92XA ...

CLINICAL PEARLS

  • When a bruise is present, it should be considered as potentially sentinel for physical abuse if no plausible explanation is given.

  • High index of suspicion is important for prevention an...

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