Child Abuse Flashcards
4 different forms of abuse.included in ra?
7610 Physical Sexual Psychol Neglect
Most common form of maltreatment
Neglect
Give 3 red flags or warning signs
Inapprop affect
Story changes
History and injuries sustained not matched
Commited by someone with noncustodial relationship or no reltionshp with the child
Sexual assault
Feelings of helplessness and fear lead to accompdative behavior in sexual abuse
Child sexual abuse accomodative behavior
Hymen in children is?
Pinkish
Creamy
Visible blood vessels
Position for genital examination for cooperative children
Frogleg position
Which is at 12 oclock?
Clitoris
Definitive evidence for genital exam?
Recent bleeding Sperm is present Anal laceration Complete absence of hymen at 3-9oclock Pregnancy in minor Syphilis
Cause hydrometrocolpos; ddx is amenorrhea
Inperforate hymen
Hymenal healing takes how long?
6-30 days
Why is lumbar puncture needed in diagnosis of Shaken baby syndrome?
To know whether not secondary to neuro problem
Why is it that Shaken baby syndrome is common to <2yo
Large subarachnoid space
High water content
Weak cervical muscles
Large head than body
Etiologic basis for most inflicted abdominal injuries
Blunt trauma
Multiple bilater and symmetric; repetitive; complex skull fractures; w intracranial visceral injury (non or specific?)
Highly suggestive for abuse
