Abuse

Question 1

Neglect

Answer 1

A child or elder who is suffering from abuse or neglect

Question 2

Types of neglect

Answer 2

Physical- child not groomed.
Emotional 
Educational. Frequent school absences. 
Medical- our concern.
Mental health

Question 3

Sexual abuse is under age of

Answer 3

13

Question 4

Average age of human trafficking

Answer 4

13

Question 5

How to report abuse at SCO

Answer 5

Report to staff dr of service chief.

TN child abuse hotline.

Question 6

What to include in the abuse report

Answer 6

Name, address, age of child.
Name and address of abuser.
Facts of abuse.

Question 7

Signs of abuse

Answer 7

Similar to trauma. Does it make sense? Document in patients own words. Look for other signs- lots of bruises? Document always.

Question 8

Signs of abuse. Indirect injuries

Answer 8

Subconj heme- choking, coughing.
Hemorrhages in and around eye. Can see in posterior pole/all layers of retina. Can see retinal exudates- Purtscher’s retinopathy.

Question 9

Bruises in accidental and intentional locations

Answer 9

Accidental- knees/elbow, chin/forehead, cheek bones, lower legs and lower arms.

Intentional- Upper arm, thighs, chest, abdomen, face, ears, neck

Question 10

Differential diagnosis of retinal hemorrhages in children

Answer 10

Birth related- up to 59% with prolonged labor. or ROP.

Leukemia 10% ALL 
Sickle cell
Bleeding disorders
Meningitis 
HTN

Question 11

Shaken baby syndrome (SBS)

Answer 11

Rental hemorrhage and intracranial hemorrhage.
Usually in the posterior pole.
Resolves in days

Question 12

Non accidental trauma (NAT)

Answer 12

NOT caused from bouncing a baby, falling off a bed, running with baby.

Signs: Lethargic, vomiting, poor visual response, unequal pupil sizes.

Question 13

Ocular signs of sexual abuse

Answer 13

Public lice on eyelashes, Chlamydia or gonorrhea,

Question 14

Corporal punishment

Answer 14

Type of discipline.

Legal in tienesse by teachers and principals.