NAI Flashcards
What is child abuse defined as
deliberate infliction of harm to a child or failure to prevent harm
What are the different possible types of child abuse?
physical sexual emotional bullying online neglect
What is neglect?
failure to meet a child’s basic physical or psychological needs that is likely to result in serious impairment of the Childs health and development
What are RFs for child abuse?
BW <2500g Mother <30yrs Unwanted pregnancy stress poverty
What aspects of a hx should make you suspect child abuse, other than disclosure from an individual?
- odd story, signs, mode of injury
- delayed presentation, bought in by someone who isn’t a parent
- Hx inconsistent w babies development
What signs should make you suspect NAI?
- psychological sequalae
- Unexplained fractures
- Baby that can’t walk w accidental injury
- Buttock, perineum, face injury
- Intracranial bleeds
- torn lingual frenulums
- retinal bleeds
- hyphaema
- bulging fontanelle
What are typical types of physical NAI?
cigarette burns whip marks bruises in non-mobile baby signs of suffocation fingermark bruising bite marks perforated pharynx
What sign suggest non-accidental head injury?
retinal haemorrhages
What should be done if there is extensive bruising?
clotting screen
What are DD of NAI?
accidental injury
osteogenesis imperfecta
osteoporosis
haemophilia
What should be done if NAI is strongly suspected?
Referral should be made to the most appropriate of the following agencies: local child social services, the National Society for the Prevention of Cruelty to Children (NSPCC), or police.
If hospital admission is needed, the admitting paediatrician should be made aware of any safeguarding concerns.
what should be done in primary care upon suspicion of NAI?
Inform social services
liaise w health visitor or NSPCC
admit to place of safety
attend case conference
