Maltreatment CPS

Question 1

Red flags for maltreatment on history

Answer 1

No history of traumatic event
MOI that isn’t compatible
Injury event not compatible with child’s development
Unexplained or unreasonable delay in seeking care

Question 2

Clinical presentation red flags for maltreatment

Answer 2

Head injury with apnea
Intracranial injury and seizures
Intracranial injury and retinal hemorrhages

Question 3

Radiographic red flags for maltreament

Answer 3

Subdural hemorrhages*
Rib fractures*
Skull fractures
Cerebral ischemia or edema
Classical metaphyseal fractures

Question 4

How quickly should eye assessment by ophtho occur in children with intracranial hemorrhage?

Answer 4

Within 72 hours of injury

Question 5

What ages is a skeletal survey done? When should a repeat occur?

Answer 5

Done in children <2 years old
Repeat after 14 days to assess for healing injuries that may not have been seen initially

Question 6

What is the most common manifestation of child maltreatment

Answer 6

Bruising
Head injury is most common cause of death

Question 7

Red flags for bruising in children

Answer 7

Non ambulatory
Ears, neck, face, buttock, torso (also chest, back, abdomen, genitalia)
Not on front of body
Large or numerous
Clustered or patterned
Does not fit with casual mechanism described