Paediatric Child Protection and Non-Accidental Injury Flashcards
1
Q
how does child protection affect you as member of the public?
A
see and hear aspect of child care that cause concern
social media
volunteering
2
Q
how does child protection affect you as professional duty?
A
GMC
contract
public role to protect and prevent harm
3
Q
who must be involved whenever there is a concern that a child may be harmed?
A
social work
4
Q
alarm bells presentation in child abuse
A
- Late presentation
- History changes on repeating
- History inconsistent with findings
5
Q
investigations in a child < 1 with suspected child abuse
A
- Skeletal survey
- CT head
- Ophthalmology
6
Q
what kind of injuries are most concerning: unilateral or bilateral?
A
bilateral
7
Q
impetigo vs cigarette burn
A
• Both circular • Burns often infected • Look for distribution • Look for burnt hair • Healing children will pull away if a cigarette touches them but will be circular if deliverate
8
Q
non-accidental fractures in children
A
- Rib fractures in a child are always non-accidental
- Spiral fractures always a worry
- Children who are not mobile do not have the ability to fracture themselves
9
Q
what is the commonest cause of death in physical abuse?
A
abusive head trauma
10
Q
types of neglect
A
- Emotional
- Abandonment
- Medical
- Nutritional/FTT
- Educational
- Physical
- Failure to provide supervision
11
Q
indicators of sexual abuse in children
A
- Disclosure is always to be believed
- Sexualised behaviour ?appropriate
- STI
- Pregnancy
