L24-25: Childhood Abuse, Neglect and Sexual Abuse Flashcards
1
Q
What is important about the history when assessing for child abuse?
A
- Inconsistent histories can make the diagnosis of child abuse
3
Q
Why is abdominal bruising of particular concern for pediatric cases?
A
- Bruising in absence of history of significant trauma is high suspicious of occult abdominal trauma, which is second most common reason children die from inflicted injury.
4
Q
What is the biggest reason child die from maltreatment? Second most? Third most?
A
- Neglect - Abusive head trauma - Missed abdominal trauma
4
Q
Debunk myth of who most child sexual abuse occurs by.
A
- Most child sexual abuse occurs by a family member or someone know by the family, not by strangers.
5
Q
Describe toddler bruising. Why is this important in assessing for child abuse?
A
- Aka exploratory bruising, typical and normal result of toddlers moving about, crawling etc. - Those that don’t cruise, rarely bruise. - If you don’t have child who is active or has ability, then no bruising should occur – if it does, then investigate
6
Q
Examples of important questions to ask when taking a physical for a child with injury / trauma.
A
- What was the child wearing? - What happened after the injury? - Who else was there?
7
Q
In abusive head trauma/SIDS, what is the largest predictor of this abuse?
A
- Crying by child
8
Q
Does a normal physical exam mean sexual abuse has not occurred?
A
- absolutely not - 95% of sexually abused children with have normal genital examinations by time they are seen
9
Q
At what ages do most child abuse injuries occur?
A
- 1 to 5
