Child Abuse Flashcards

1
Q

most common form of child abuse?

A

neglect

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2
Q

most common perpetrator of child abuse

A

mom

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3
Q

signs of abuse

A

lack of concern
unwillingness to comfort child
delay in seeking medical care
history doesn’t fit

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4
Q

where is the leading cause of fatalities?

A

under 1

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5
Q

who most often inflicts physical abuse?

A

caregiver or parents

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6
Q

what is the leading cause of mortality and morbidity from physical abuse

A

head trauma (sub dural bleed)

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7
Q

symptoms of head truma

A
lethargy
irritability
seizures
apnea
coma
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8
Q

diagnostics for subdural hemorrhage

A

CT or MRI

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9
Q

findings that suggest abuse

A
multiple fractures
fractures of different ages
fracture not adequately explained
occult fracture
fracture in an infant
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10
Q

what are some fractures unique to child abuse?

A
rib
metaphyseal
sternum
spinous process
acronion 
vertebral body fracures
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11
Q

what are other names for metaphyseal fractures?

A

corner fracture
bucket handle fracture
these are from being yanked on

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12
Q

what are 2 conditions of prematurity that can cause non abuse fractures

A

osteopenia

rickets

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13
Q

deficiency of type I collagen, results in increased bone fragility. Will ahve blue sclera, wormian bones

A

Osteogensis imperfect (OI)

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14
Q

are there many outer signs with shaken baby syndrome?

A

No, but will have retinal hemorrhage

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15
Q

do retinal injuries happen spontaneously in children?

A

No

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16
Q

does CPR results in retinal hemorrhages?

A

rarely

17
Q

Defined as engaging of dependent, developmentally immature children in sexual activities that they do not fully comprehend and to which they cannot give consent, or activities that violate laws and taboos of a society.

A

sexual abuse

18
Q

are there physical findings with most sexually abused victims?

A

No

19
Q

most common form of emotional abuse?

A

verbal abuse

denigration

20
Q

what is the most common feature of emotional abuse

A

absence of normal parent-child attachment

21
Q

work up for neglect and failure to thrive

A
CBC
UA
Electrolyte Panel
Liver function Test
NB screen documented
Other studies if physical or history indicate
Thyroid
Metabolic studies
22
Q

Caregiver simulates or creates symptoms of illness in a chld.
Bizarre symptoms/history, recurrent problems
Most often reported as ill but exam is normal

A

Munchausen syndrome by proxy

23
Q

what does CART stand for?

A

Child
Abuse
Protective
Team