Peds abuse

Question 1

Define abuse

Answer 1

The non-accidently commission of any act, by a caretaker, upon a child under 18 which causes or creates a substantial risk of physical or emotional injury

Question 2

Define physical injury

Answer 2

Death, fx of bone, subdural hematoma, burns, impairment of any organ, and any other such nontrivial injury

Question 3

Define sexual abuse

Answer 3

“(A) the employment, use, persuasion, inducement, enticement, or coercion of any child to engage in, or assist any other person to engage in, any sexually explicit conduct or simulation of such conduct for the purpose of producing a visual depiction of such conduct; or (B) the rape, molestation, prostitution, or other form of sexual exploitation of children, or incest with children;…

Question 4

Define emotional injury

Answer 4

An impairment to or disorder of the intellectual or psychological capacity of a child

Question 5

Define neglect

Answer 5

Failure by a caretaker, either deliberately, or through negligence or inability to take those actions necessary to provide a child with minimally adequate food, clothing, shelter, medical care, supervision, emotional stability or growth, or other essential care

Question 6

Define Institutional Neglect or Abuse

Answer 6

Abuse or neglect which occurs in any facility for children, including but not limited to group homes, resendential or public or private schools, hospitals, detention and treatment facilities, family foster care homes, group day care centers and family day care homes

Question 7

Define Abandonment

Answer 7

Practice of abandoning one

Question 8

What is a 51A?

Answer 8

Report to MA authorities of child abuse

Question 9

Extremity fx in preambulatory kids is most commonly due to what?

Answer 9

Abuse

Question 10

80% of abusive fx occur under what age?

Answer 10

18months

Question 11

When to do a Skeletal Survey

Answer 11

In all <2y with obvious abusive injuries, suspicious injuries, oral injuries, or injuries not consistent with story

Question 12

What is both the most common accidental and abusive injury in young kids?

Answer 12

Skull fx

Question 13

What is the most common type of burn?

Answer 13

Scalds

Question 14

What two things should be on a physical abuse evaluation? What else to consider?

Answer 14

1. Retinal exam
2. Skeletal survey
   Consider CT.

Question 15

Are sex abuse evaluations most common normal?

Answer 15

Yes