Child Abuse

Question 1

What are the RSK fxs for child base

Answer 1

Parental problems
Substance abuse
Poverty
Presence of household domestic violence
Mental disorder
“Different” child
Congenital/chronic illness (special needs)
Adopted child
Step-children
Premature children 
single parent 
new to area/base 
Financial stress/ marital Stress

Question 2

What is the most common type of child abuse

Answer 2

neglect

Question 3

What is Münchausen syndrome by proxy

Answer 3

Caregiver reports factitious symptoms in child

Or invokes an illness on a child (Factitious)

Question 4

What are the effects of child abuse

Answer 4

More aggressive w/ peers
-74% more likely to commit violent crime

Troubled interpersonal relations
-10x more likely to become an abusive partner

24x more likely to commit rape

Language disorders

More depressive symptoms
6x more likely to be suicidal

Substance abuse

Sleep disturbances

Anxiety disorders

Question 5

What is the tool to ID Abuse

Answer 5

TEN
FACES
P

Bruising on the

• Torso/Genitals
• Ears
• Neck
• Frenulum
• Angle of the mandible
• Cheek
• Eyelid
• Subconj Hem (outside or birth period)

-Patterns of bruising

Question 6

Any bruising less than 4 months old should prompt

Answer 6

CPS/ Suss for abuse

Question 7

Immersion injury pattern (burns)

Answer 7

A,Sparing of the flexoral creases.
B,Immersion “stocking” burn.
C,Immersion “glove” burn.
D,Immersion buttocks burn.

Question 8

Spiral fx in kids is highly suggestive of …

Answer 8

Abuse

But can be NML so listen to Hx

Question 9

What age can skeletal surveys be done

Answer 9

Can be done in children under 3

Question 10

Corner and bucket handles fx are signs of

Answer 10

Abuse!