NAI Flashcards
LOs:
Describe presentations of NAI and
common injuries in relation to the
musculoskeletal system.
What does NAI mean
non-accidental injury
Are accidental injuries usual in under 2yrs babies?
No, especially not in long bones (non-ambulant)
What is a skeetal survey
A set of X-rays performed to assess the majority of bones for the child
Why are CT brain recommended
Illustrates trauma, and possibility of NAI
Why are opthalmology exams recommended
Shows if the baby suffers from shaken baby syndrome
What are some injuries suggesting NAI
Injuries in non-ambulant babies, fracures in babies, infants especially. Subdural bleeding, especially with encephalopathy, retinal haemorrhage,
Peri-oral/facial bruising
What parent-specific factors are associated with abuse
Domesic violence, patental substance abuse/mental illness, learning difficulties, bad experiences of parenting/personal history of abuse
What social factors increase risk of NAI
Poverty, young parents, social isolation, 3+ children under 5
What factors regarding the child increases risk of abuse
Disability, preterm delivery, multiple pregnancy
How will the explanation of an NAI be given
Vague, innapropriate, or changes each time told
Regarding fractures, what suggests NAI
Absence of credible history, younger child, multiple fractures
What signs on general examination point to NAI
are height and weight thriving?
Are they clean/dressed approproately (well cared for)
Is the chld secure/settled or fearful? DOes the child seek security from the parent?
Bitemarks/cig burns big sign
How is child abuse managed
Good records, pictures/photos, share concerns with colleague, report to childrens services
