17 - Child Abuse

Question 1

What is the MC type of child abuse?

Answer 1

Neglect - failure to provide for the needs of the child

Also the hardest to document / prove

Physical, emotional, medical

Question 2

What fractures have high specificity for abuse?

Answer 2

Rib (posterior), metaphyseal, scapular, vertebral, skull (non-linear), sternum

Question 3

Normal accidental bruising areas for toddlers

Answer 3

Mouth, nose, forehead (fell on face)

Shins (bumping into stuff)

Lower back (falling back on butt)

Question 4

Abuse bruising patterns for toddlers:

Answer 4

Eyes, chin, ears, neck

Arms (think pinching/grabbing)

Abdomen

Thighs

Question 5

Red bruise - age?

Answer 5

0-2 days

Question 6

Blue/purple bruise - age?

Answer 6

2-5 days

Question 7

Green bruise - age?

Answer 7

5-7 days

Question 8

Yellow bruise - age?

Answer 8

7-10 days

Question 9

Brown bruise - age?

Answer 9

10-14 days

Question 10

Bruise progress - what happens?

Answer 10

Hemoglobin -> biliverdin -> bilirubin

Question 11

Neglect (MCC of abuse) will result in what type of growth deficiency?

Answer 11

Type 1 - head and length normal, weight low