Child Abuse Flashcards
(23 cards)
most common form of child abuse?
neglect
most common perpetrator of child abuse
mom
signs of abuse
lack of concern
unwillingness to comfort child
delay in seeking medical care
history doesn’t fit
where is the leading cause of fatalities?
under 1
who most often inflicts physical abuse?
caregiver or parents
what is the leading cause of mortality and morbidity from physical abuse
head trauma (sub dural bleed)
symptoms of head truma
lethargy irritability seizures apnea coma
diagnostics for subdural hemorrhage
CT or MRI
findings that suggest abuse
multiple fractures fractures of different ages fracture not adequately explained occult fracture fracture in an infant
what are some fractures unique to child abuse?
rib metaphyseal sternum spinous process acronion vertebral body fracures
what are other names for metaphyseal fractures?
corner fracture
bucket handle fracture
these are from being yanked on
what are 2 conditions of prematurity that can cause non abuse fractures
osteopenia
rickets
deficiency of type I collagen, results in increased bone fragility. Will ahve blue sclera, wormian bones
Osteogensis imperfect (OI)
are there many outer signs with shaken baby syndrome?
No, but will have retinal hemorrhage
do retinal injuries happen spontaneously in children?
No
does CPR results in retinal hemorrhages?
rarely
Defined as engaging of dependent, developmentally immature children in sexual activities that they do not fully comprehend and to which they cannot give consent, or activities that violate laws and taboos of a society.
sexual abuse
are there physical findings with most sexually abused victims?
No
most common form of emotional abuse?
verbal abuse
denigration
what is the most common feature of emotional abuse
absence of normal parent-child attachment
work up for neglect and failure to thrive
CBC UA Electrolyte Panel Liver function Test NB screen documented Other studies if physical or history indicate Thyroid Metabolic studies
Caregiver simulates or creates symptoms of illness in a chld.
Bizarre symptoms/history, recurrent problems
Most often reported as ill but exam is normal
Munchausen syndrome by proxy
what does CART stand for?
Child
Abuse
Protective
Team
