Injured child, Acute paediatrics & Child Protection Flashcards
What is the toxic triad in terms of child protection?
If there is domestic violence in the home, Parent who’s got a mental health problem, or a substance misuser- significantly increase risk of child comes to harm
Who is referred to from birth to school age?
Health visitor
Who is referred to for school age child if there is concern?
Head teacher
What is physical abuse?
To hurt or harm a child or young person on purpose in any way
What is physical abuse?
To hurt or harm a child or young person on purpose in any way
What should ring alarm bells for child protection?
- Late presentation
- Hx changes on repeating
- Hx inconsistent with findings
When should bruising raise concern?
- Any bruise in non-mobile infant
- Petechiae
- Clusters
- Extensive injuries with no explanation
- Injury no consistent with Hx or developmental level
- Location of bruise
How to distinguish between impetigo and cigarette burn?
- Both circular
- Burns often infected
- Look for distribution
- Look for burnt hair
- Healing
What mechanism cause spiral fractures?
Twisting injury
What are some signs of abusive head trauma?
- Predominantly <2 yo
- Presentation variable
- Retinal haemorrhages seen in 80%
- Neck & cervical spine injury
What is neglect?
Ongoing failure to meet a child’s basic needs
What are some categories of neglect?
- Emotional
- Medical
- Nutritional/FTT
- Educational
What does emotional abuse encompass?
All other forms of abuse- with physical abuse, NAI, CSA and FTT
How is emotional abuse defined?
Any type of abuse that involves the continual emotional mistreatment of a child (sometime s called psychological abuse)
Recognition of concerning behaviours including behavioural or developmental
Note down observed harmful caregiver-child interactions
What are some indicators of sexual abuse?
- Disclosure
- Sexualised behaviour
- STI
- Pregnancy
