safeguarding Flashcards
shaken baby syndrome - presentation
retinal haemorrhage subdural seizures + reduced GCS irritable + poor feeding full fontanelle anaemia ^head circumf
shaken baby - child protection medical assessment
growth chart body map + photos skeletal survey - fractures ophthalm review investigations as approp (eg CT head, FBC, bone profile, clotting)
differentials for bruising
ALL VWD NAI meningococcal septicaemia HSP/vasculitis aplastic anaemia
RFgs for NAI in hx
mechanism vague/not offered/inconsistent w injury delay in seeking help inconsistent hxes inappropriate parental reactions recurrent inconsistent w age/development/mobility
what sites are normal for bruising?
bony prominences - shins, elbows, forehead
what types of bruising are concerning?
many bruises of different ages
bruise patterns of slapping, grip, objects
face, ears, neck, bum, trunk, proximal limbs
fraser guidelines
understands advice can't be persuaded to have parents know likely to have sex without contraception physical/MH will suffer without it contraception is in best interests
sudden infant death syndrome - RFs
prone sleeping parental smoking premature bed sharing hyperthermia (eg over-wrapping) or head-covering
sudden infant death syndrome - protective factors
breastfeeding
room sharing
dummies
explaining child protection assessment
when a child presents like this, there are many things that could be the cause, but 1 thing we have to rule out is intentional harm to the child, so as protocol we have to do some investigations. we’ll also be doing some medical tests too to look for medical causes of the symptoms.
