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...
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...
Consider antibiotics post-exposure prophylaxis in postpubertal children as indicated for STIs. Of note, do not prophylactically treat prepubertal children with antibiotic...
National Child Abuse Hotline: 1.800.4.A.CHILD
National Toll-Free Crisis Hotline Numbers: www.childwelfare.gov/pubs/reslist/tollfree/
Trauma resources: National Child Trauma...
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 ...
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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FIG. 26.6. Radiographic findings of child abuse. A: Multiple skull fractures in an infant. B: Left humeral fracture and multiple old healing rib fractures. C: Left femoral fracture and metaphyseal chip avulsion fractures of the right distal femur. D: Healing fracture of the right femur with callus formation and new periosteal bone formation. E: "Bucket-handle" deformity of healing distal tibial epiphyseal fracture. F: Bone scan shows multiple areas of increased uptake caused by trauma. Some...
FIG. 26.6. Radiographic findings of child abuse. A: Multiple skull fractures in an infant. B: Left humeral fracture and multiple old heali...
FIG. 26.11. Shaking injuries. A: Small bruise of right cheek (arrow) in a 6-month-old shaking victim was the only external evidence of injury. The photograph was taken shortly after admission to the hospital to document that the injury was not iatrogenic. The child died the following day and at autopsy had typical findings of shaken baby syndrome. Manifestation of whiplash shaking injury. (From Reece RM, Ludwig S. Child abuse: medical diagnosis and management, 2nd ed. Philadelphia: Lippinco...
FIG. 26.11. Shaking injuries. A: Small bruise of right cheek (arrow) in a 6-month-old shaking victim was the only external evidence of inj...
FIG. 26.3. Immersion burns. A: Hot water burn in an immersion pattern. B: Hot liquid spill burns sustained by a 6-month-old child.
Hemorrhages involving all layers of retina and the choroid. Hemorrhage in vitreous superotemporal to disc is breakthrough from the dome-shaped prehyaloid hemorrhage in macular area. Note disc edema, venous stasis.
Hemorrhages involving all layers of retina and the choroid. Hemorrhage in vitreous superotemporal to disc is breakthrough from the dome-sha...