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Child Abuse

Wynne Morgan, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

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

  • Neglect includes physical (e.g., fail...

DIAGNOSIS

  • Relatively minor skin injuries, frenulum tears, or bruising in pre-cruising infants may be the first indications of child physical abuse; these relatively minor, unexplained injuries have be...

TREATMENT

GENERAL MEASURES

All cases of suspected child abuse or neglect require a mandatory report to state child welfare agencies. 

MEDICATION

First Line

  • Consider antibiotics post-exposure prophylaxis i...

ONGOING CARE

PATIENT EDUCATION

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

  • Mandated reporting is required for suspected child abuse and neglect; the medical provider does not have to prove abuse before reporting.

  • When a bruise is present, it should be consider...

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