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Paediatrics > Child protection/safeguarding > Flashcards

Child protection/safeguarding Flashcards

1
Q

What are the different types of suspicious presentation?

A
  1. The unsuitable explanation
  2. Repeated A&E attendance
  3. Late presentation
  4. Child frightened/withdrawn
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2
Q

What is the ‘unsuitable’ explanation?

A

One that is IMPLAUSIBLE, INADEQUATE or INCONSISTENT between:

a) The child’s presentation or
b) The parents/carers or
c) Accounts over time

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3
Q

What is a Section 46?

A

Police Protection Order

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4
Q

What is the most immediate form of protection without reference to the courts?

A

Police Protection Order (Section 46)

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5
Q

What are the characteristics of a Police Protection Order?

A

Most immediate form of protection without reference to the courts
Lasts 72 hours

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6
Q

What is a Section 47 investigation?

A

When social care accepts the referral

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7
Q

What is a Section 44?

A

Emergency Protection Order

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8
Q

What are the characteristics of an Emergency Protection Order?

A

Social worker applies to court, last 7 days

Enables a social worker to gain parental responsibility where neccessary

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9
Q

What is a Section 38?

A

Interim Care Order

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10
Q

How long does an Interim Care Order last?

A

8 weeks

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11
Q

What is a Section 31?

A

Full Care Order

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12
Q

How long does a Full Care Order last?

A

Until the child is 18y/o

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13
Q

What are the injury types for which you should have a low threshold of suspicion?

A
  1. Thermal injuries/burns
  2. Bites
  3. Bruising/lacerations
  4. Fractures
  5. Head injuries
  6. Retinal haemorrhages
  7. Torn frenulum
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14
Q

Features of concerning burns:

A
  1. In shape of an implement - e.g. cigarette/iron

2. Glove and stocking distribution/symmetrical/sharp demarcation - ?forced immersion

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15
Q

Features of concerning bites:

A
  1. Adult-size jaw
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16
Q

Features of concerning bruising/laceration

A
  1. Bruising in shape of an object/hand
  2. Multiple bruises/clustering brusises
  3. Bruising in a child that is not independently mobile
  4. Bruises on non-bony parts, e.g. buttocks
  5. Bruises on areas usually covered by clohing
  6. Lacerations on face
17
Q

What are the most common fractures of child abuse?

A
  1. Radial
  2. Humeral
  3. Femoral
18
Q

Why might a torn frenulum be suspicious?

A

A bottle being forced into an infant’s mouth

19
Q

Features of concerning fractures:

A
  1. Single, unexplained long-bone fractures - 80% of femur fractures are intentional
  2. Limb fracture in infant <1y/o
  3. Multiple fractures w/out pre-disposing conditions
  4. Scapula/sternal/pelvic fractures
  5. XR showing occult fractures/fractures of different ages
20
Q

Features of non-intentional head injury:

A
  1. Single/linear
  2. Parietal
  3. No intracranial haemorrhage
21
Q

Features of intentional head injury:

A
  1. Wide/complex/bilateral
  2. Cross sutures lines
  3. Associated intracranial haemorrhage
22
Q

What conditions can predispose to a childhood fracture?

A
  1. Osteopenia

2. Osteogenesis

23
Q

What are the physical signs of sexual abuse?

A
  1. Recurrent/persistant vulvovaginitis
  2. Recurrent UTI
  3. Recurrent abdo pain
  4. Faecal soiling/enuresis resistant to treatment
  5. Bizarre gait disturbance
24
Q

What are the behavioural signs of sexual abuse?

A
  1. Sexualised play
  2. Sudden change in school performance
  3. Self-harm
  4. Running away
  5. Eating disorders/pervasive refusal
25
Q

What are the signs of possible sexual exploitation?

A
  1. Missing day/night
  2. Relationship with controlling adult
  3. Entering/leaving vehicles driven by unknown adult
  4. Unexplained contact with hotels/taxi companies/fast food outlets
26
Q

What is neglect?

A

Persistent failure to meet the child’s basic needs, resulting in impairment of their health/development

27
Q

What are the possible signs of neglect?

A
  1. Growth faltering
  2. Little/no food in lunch box
  3. Left unattended/unsupervised
  4. Human/animal excrement in home
  5. Unmet medical needs
  6. Severe dental caries
  7. Non-attendance at school
  8. Change in behavioural/emotional state

Paediatrics (27 decks)

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