Child Abuse Flashcards

1
Q

What is most common: Sexual abuse, physical abuse or neglect?

A

Neglect - 78%

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2
Q

__ children die each day due to abuse

A

5

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3
Q

Under what age do kids suffer the most from abuse and neglect?

A

Under 3 *Largest risk factor

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4
Q

What age is most vulnerable?

A

Under 1

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5
Q

What is the number 1 type of abuse?

A

Maltreatment

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6
Q

What percentage of abusers are parents?

A

80%

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7
Q

When there is domestic violence in the home, child abuse is __ times more likely

A

15

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8
Q

Abused moms are __ more likely to abuse their kids

A

8x

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9
Q

5 things that are not child abuse that can look like it:

A
  • Cupping
  • Coining
  • Toddler Shins
  • Toddler fracture
  • Mongolion spot
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10
Q

Red flags on PE for abuse:

A
  • Bruises on: thigh, cheeks, pinnae (soft)
  • Force feeding (oral trauma)
  • Patterned bruises
  • Glove/stocking
  • Long bone (pre-ambulatory)
  • Bruises in different stages of healing
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11
Q

Areas of accidental bruising (not child abuse):

A
  • Forehead
  • Elbows
  • Outer legs
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12
Q

For a child with bruising and abdominal trauma, what would you order?

A

Bruising: CBC, PT, PTT
ABD: CBC, UA, LFT

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13
Q

What is a corner or bucket handle fracture?

A

From rotational stress or violent shaking; breakage near the epiphyseal plate

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14
Q

___ rib fractures are suspicious for child abuse

A

Posterior

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15
Q

Shaken baby syndrome is seen in those under __ and can occur with __ seconds of shaking:

A

Under 2; 5 seconds of shaking

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16
Q

What do children of sexual abuse commonly complain of?

A

Non-specific - fatigue, HA, abdominal pain

17
Q

What is Lichen sclerosis atrophicub?

A

Pruritus, dysuria and genital bleeding with white patches - Ddx for sexual abuse

18
Q

Hymen progression:

A

Birth: Thick
Later: Thin (maternal hormones regress)
Adolescence: Thick again

19
Q

Hymen tear at __ indicates penile penetration

A

6 o’clock

20
Q

A normal PE does….

A

NOT EXCLUDE SEXUAL ABUSE

21
Q

A rape kit should be collected within __ hours

A

72