Intro week-safeguarding Flashcards
1
Q
epidemiology of abuse?
A
COMMON
- 6% of under 11s
- 18.6% 11-17 year olds
- Approximately 1 in 1000 children under the age of 4 will suffer severe physical abuse e.g. fractures, brain haemorrhage
2
Q
5 types of abuse?
A
- Physical
- Sexual
- Emotional
- Neglect
- Exploitation
3
Q
Investigations for possible abuse?
A
- Skeletal survey
- CT head
- ophthalmology-look for hemorrhages
- look for medical causes
4
Q
Type of fractures that cause concern?
A
- Spiral fracture
- metaphyseal fracture (twisting mechanism)
- bucket handle (cresent)
- corner (triangular) - Age < 1 year (immobile)
5
Q
what else could cause fractures in young children?
A
- Premature
- Rickets
- Osteogenesis imperfecta (brittle bones)
6
Q
Differential for a burn
A
Staph aureus impetigo
7
Q
What is the classic TRIAD for non accidental head injury/shaken baby syndrome/abusive head trauma?
A
- retinal haemorrhages
- encephalopathy
- sub-dural haemorrhages on CT scan
- also might have rib fractures or long bone fractures
8
Q
How may shaken baby syndrome present
A
a range- well or collapsed, POOR PROGNOSIS
9
Q
Signs of sexual abuse on physical examination?
A
- bruises on inner thighs
- discharge
- infections
10
Q
What test would you do to test for sexual abuse?
A
Colposcope is used for sexual abuse
