NAI/ethics/law

Question 1

Who gets a skeletal survey

Answer 1

all children <2 where physical abuse is suspected.

Older Children dependent on history, examination and fracture type

Question 2

Who gets a CT scan

Answer 2

All children <1 where physical abuse is suspected.

Older Children dependent on history, examination

Question 3

What blood tests should you do in a child with bruising

Answer 3

coagulation screen - PT, APTT, thrombin time, fibrinogen
FBC + film
Factor VIIIc
von willibrand factor

Question 4

Which bone biochemistry tests should you do in pts with unusual fractures

Answer 4

calcium and phosphate
ALP
serum 25-hydroxyvitamin D
Parathyroid hormone

Question 5

What are common birth injuries

Answer 5

brachial palsy
Caput succedaneum.
c
facial palsy
bruising
subconjunctival haemorrhage

Question 6

what is a caput succedaneum

Answer 6

significant swelling of the soft tissues of the baby’s scalp
often in babies delivered by vacuum
Usually goes away in a few days

Question 7

What is a Cephalohematoma

Answer 7

• area of bleeding between the skull bone and its fibrous covering.
• often appears several hours after birth
• 2 weeks to 3 months to reduce
• if large, can cause jaundice as blood is broken down

Question 8

WHat is the most common birth fracture

Answer 8

clavicle - soft lump forms within 10 days. movement may be limited by pain

Question 9

how long would you expect a subconjunctival haemorrhage to last?

Answer 9

Blood is usually resorbed within 7-10days