Child Abuse Flashcards
Republic Act 7610
Special protection of children against child abuse, exploitation and discrimination act
Examples of child abuse primary prevention programs
- Home visits
- Parenting programs
- Prevention of abusive head trauma
- Multi-component interventions
Child abuse prevention strategies categorized according to targets
- Universal
- Targeted
- Indicated
Excessive or prolonged activation of the physiologic stress response systems in the absence of buffering protection afforded by a stable and responsive relationship
Toxic stress
RA 9262
Anti-violence against women and children act of 2004
most common form of child maltreatment
emotional abuse
A repeated pattern of caregiver behavior or extreme incident/s that convey to children that they are worthless, flawed, unloved, unwanted, endangered or only of value in meeting another’s needs
child psychological abuse
High specificity for physical abuse in the ff types of fractures
metaphyseal chip, bucket handle, rib (esp when posterior), scapular, spinous process, sternum
Single most common presentation of physical child abuse
cutaneous injuries
most frequent sign of abuse
bruising
Intercanine distance of adult human bite
3-4.5 cm
Radiologic syndrome of AHT
- characteristic intracranial hemorrhage - subdural, subarachnoid
- diffuse parenchymal changes - edema, contusions
- subcortical tears - pathognomonic
- possible skull fractures and soft tissue
Only __ of children referred for medical evaluation of sexual abuse have abnormal examinations at the time of evaluation
4%
STI prophylaxis in child abuse
ceftriaxone 250 mg IM single dose or cefixime 400 mg PO single dose PLUS metronidazole 2 g PO single dose PLUS azithromycin 1 go PO single dose or doxycycline 100 mg BID x 7 days
Emergency contraceptive pills
levonorgestrel 1.5 mg PO single dose or
0.75 mg PO q12