20. Child protection Flashcards
Who do you inform if you suspect a child is being abused?
Social work
What legislation is in place
Un rights of the child
Scottish legislation (1995)
Children and young people scotland act 2014
Equal protection from assault act 2019
What are the alarm bells for physical abuse?
Lat presentation
History changes on repeating
History inconsistent with findings
What do you consider about bruising in a child?
Commo presentation Compatible with history Purple/blue/brown/ellow Burise in middle of the back vs bruise n shin Bruising a two month old
What does a cigarette burn look lie?
Impetigo Both circular Burns often infected Look for distribution/burn hair Healing
What other common injuries are seen in psychical abuse?
Burns/scalds
Abusive head trauma
broke bones
When would you suspect sexual abuse?
Disclosed to you
Sexulised behaviour
STI
Pregnant
How do you assess someone with suspected sexual abuse?
Joint paediatric/forensic medical examiner Dont repeat interview Video colposcope general physical exam Developmental assessment
What is FII?
Fabricated or induced illness
rare form of child abuse, 90% mothers
Motivation unclear
GP must be involved is suspected
What do doctors do if they suspect abuse?
Take a history Examine the child Clinical investigations if needed Reach a preliminary opinion, consult with other agencies Give a revised opinion if needed
