Child/Elder Abuse Flashcards
What is the physician’s primary role in suspected abuse cases?
report, not investigate
What children/elders are more likely to be abused?
ones that are harder to care for
children - fussy, mentally/physically disabled, premature, twins, unwanted, not biologically related, caregiver has substance abuse…
elder - mentally/physically disabled, severe medical conditions, dementia, incontinence…
What are the four main types of child abuse?
neglect - failure to provide basic needs, most common/deadly
emotional -
physical
sexual
If you suspect neglect, what should be done?
full medical hx
psychosocial hx
complete PE
contact CPS
What injuries are particularly suspicious for child abuse?
posterior rib fractures
scapular fracture
long bone fracture in non-ambulatory children <2 y/o
skull fracture in infants
SP fracture
sternal fracture
cigarette burns
metaphyseal lesions
If story of injury doesn’t match injury, be suspicious of abuse
What are the three types of sexual abuse?
non-touching (ex. porn exposure)
touching (ex. fondling)
exploitation (ex. human trafficking)
most victims are 9-12 y/o
Who is the most likely perpetrator in child sexual abuse cases?
stepfather
boyfriend of mom
uncles/older siblings
When is the Minimal Facts Interview performed?
sexual abuse immediate interview is necessary
- What happened to you? (who)
- What did they touch you with? (what)
- Where did they touch you? (where)
- Where were you when this happened (where)
*avoid asking when
Failure to report child sexual abuse or elder abuse is considered what in MO?
class A misdemeanor
class B in Kansas
What are the types of elder abuse?
sexual
psychological
physical
financial
neglect
What is the physician’s role when suspected elder abuse?
report to senior protective services
document carefully (picture, XR, documentation…)
