As in all of medicine, the history is paramount to diagnosing child physical abuse. The history yields information useful in creating a timeline, determining plausibility of the injur...
Medical treatment according to injuries
Report suspicions for physical abuse to the Child Protective Services agency in the jurisdiction of occurrence.
Incorporate other discip...
Reports will be investigated by the appropriate child welfare and/or law enforcement agency.
The child may or may not be placed into foster care....
Anderst JD, Carpenter SL, Abshire TC; for Section on Hematology/Oncology and Committee on Child Abuse and Neglect of the American Academy of Pediatrics. Evaluation for bleeding diso...
995.54 Child physical abuse
995.55 Shaken baby syndrome
V61.21 Counseling for victim of child abuse
T74.12XA Child physical abuse, confirmed, initial encounter
T74.4XXA Shaken infant syndro...
Q: When do I need to report child abuse?
A: Whenever there is suspicion that your patient has experienced maltreatment based on your clinical evaluation. You do not have to prove abuse; you just ne...
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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...