Child Forensic Pathology Flashcards
physical, sexual, psychological, neglect
4 types of child abuse
- non accidental injuries sustained by a child as a result of physical abuse, usually inflicted by an adult caregiver
- ie multiple fractures of different ages or spiral fractures
- degree of injury inconsistent with the history obtained from caretakers
- commoly dead at home or on arrival to ED
battered child syndrome
- can cause subdural hematoma or direct axonal injury, due to shearing forces
- neck muscles not fully developed, head enlarged, leads to hyperflexion and extension
shaken baby syndrome
-hemorrhage without organization or inflammation
fresh/recent injury
neutrophils along margins indicated injury took place how long ago?
hours
macrophages present indicates injury took place how long ago?
with 72 hours
hemosiderin indicates injury took place how long ago?
days
- burns symmetrical with involvement of buttocks, perineum, and feet
- typically no splash marks
- well demarcated high water mark
intentional scalding
- sharply demarcated, round eschar with surrounding collaret of tissue reaction (fibrosis0
- diameter about 1 cm
cigarrette burn
failure of a caregiver to adequately provide for the needs of a child, active or passive, leading for of child maltreatment
child neglect
-efforts aimed at whole populations, raise overall awareness, limited effectiveness in changing individual behaviors
primary prevention
-efforts target high risk individuals or groups, home visit program, work on improving parents lifestyle choices and child rearing behaviors
secondary prevention
poly microbial sepsis is evidence of?
- victims <6yo
- perpetrator acts concerned, not critical of healthcare
- present w/ repeated illness, apnea, seizures, urogenital tract problems
child abuse, munchhausen by proxy
