child abuse Flashcards
signs of suspected neglect
Absent from school
Bags or steals
Consistently dirty or bad body odor
Lex proper clothes for weather
Factors contributing to physical abuse
Domestic violence
Isolation, single parent
Poverty, unemployment
Low self-esteem
Teenage parent
Unrealistic expectation of child’s behavior
Negative view of child
What’s the number one trigger for abuse?
colic Crying
Warning signs of physical abuse
no history to explain physical findings
injury not consistent with history
Conflicting stories
Seeking medical attention far from home
Characteristics of abused kids
Wary of adults
Very compliant
Role reversal
Aggressive towards animals
Physical indicators of abuse
patterns
Various stages of healing
Adult size teeth marks, hand print
Shadow bruises
Spiral fracture
Cigarette burns
What are the abnormal locations for bruises?
nose
Genitals
Thighs
Upper back
Hamstrings
Calves
Ears
rule of TEN
Torso
Ears
Neck
Applies less than four years old
PAHT
shaken baby syndrome
Uncontrolled movement of head
Brain violently shakes within skull
Bruising brain tissue leads to bleeding and swelling
Lack of blood supply
s/sx PAHT
seizures, posturing
Unequal pupils
High-pitched cry
Bulging fontanelle
Poor feeding
Change in head control
perpetrator signs
Male less than 30 years old
Illiterate, education less than high school
Depression, substance abuse
Poor impulse control
risk factors of PAHT kids
Male
Premature
Withdrawal symptoms
Special needs
Increased Exposure between child and parent
Abnormal bones for fractures
femur, humorous, tibia
Spiral fracture’s
Dislocations without clear history
Unexplained fracture in different stages of healing
how to distinguish an accidental burn
Irregular shape
Splash marks
how to distinguish immersion Burns
Clear mark of delineation
Sparing inflection creases