Child Neglect and Abuse Flashcards
Most prevalent form of child abuse
child neglect
“failure to provide for a child’s basic physical, emotional, educational, or medical needs”
child neglect
Most commonly injured area of child abuse
orofacial
Most common type of injury of abused children
bruises (especially central bruising)
Diagnostic clue in history of abused child
History is inconsistent w/ injury of the child
Red flag during history taking that may indicate abuse
If the child is older than 3YO and parents won’t allow you to talk to the child alone
Ideal for PE of a possibly abused child
all clothing removed and child in gown
performed for any child < 2YO w/ concerning fracture, intraabdominal or intrathoracic injury or concern for abusive head trauma; also children 2-5 w/ impaired consciousness
skeletal survey
T/F Perpetrators of sexual abuse are usually male and often trusted adult
true
Clinical features include: anxiety/depression, agitation, fearfulness, running away from home, drug/ETOH problems, eating disorders
emotionally abused child
Labs that should be done for suspected child abuse
CBC w/platelets, PT/PTT, CMP, UA-for hematuria, toxicology