Child Physical & Sexual Abuse Flashcards
Look up in Book/online:
Strategies for preventing ACES
Burn patterns concerning for abuse
What should you be able to describe about an injury?
Characteristics of fractures that are different in children vs adults
Usual mechanism of injury for transfers and oblique fractures.
Torus fractures - what is this and what age is this most common in?
What are 2 types of bone fractures that are highly suspicious for abuse?
Torus fracture is another word for a buckle fracture common in young children in a FOOSH saturation, not usually indicative of abuse.
RIB and Metaphyseal Avulsion fractures are. 2 most common in abuse.
When should you repeat a skeletal survey? What age do you get skeletal surveys?
In 2 weeks (7-10 days)
Age 5 and under.
Over 5 gets focused radiography and/or CT
Bruising/swelling is ______ common in fractures.
NOT
What is a CML and when is it seen?
Classic Metaphyseal line fracture
Pulling of the limbs.
Labs to draw in a bruised child?
CK, rickets labs, OI labs, bleeding disorder (coag, factors), Vit d, calcium, CMP, CBC, LFTs,
What is TEN4FACESp?
Bruising locations that are suspicious for abuse
Torso
Ears
Neck
<4yrs and any bruising on 4mo or less
Frenulum
Angle of the jaw
Cheek (fleshy part)
Eyelids
Sclera/subconjunctival
Patterned bruising of any kind.
Those who don’t cruise, rarely bruise.
Injuries blamed on siblings = “supervision neglect” still report and let CPS sort it out.
Bruises you’re not too concerned about:
After patient is cursing
Boney surfaces, FRONT of body.
2 fractures that are highly specific for abuse.
CML and rib
Estimated that 8-18% of kids experience sexual abuse.
PSBY - problematic sexual behavior in youth
AAP evaluating sexual behavior in kids chart - look up for resource bible (peds sep 2009)
1 symptom (physical or behavioral) of CSA?
No symptoms.
Sexual assault reported _____ gets a SANE exam, KIT and meds.
<72
