Flashcards in Child Abuse Deck (14):
When should you suspect abuse?
story doesn't fit
long sleeve shirt on hot day
role reversal--kid taking care of parent
hx of child abuse in parents
What are the most common findings of child abuse?
**but see if they have low platelets
How hard is too hard to spank your child?
if you're leaving bruises--too hard, abusive.
Where are normal bruises located?
on bony prominences that can be hit during a fall
forearms, wrists, knees, shins
NOT back, face etc.
NOT normal if you are super young & can't even walk around enough to fall
Other things to consider with bruising?
**can always re-check the kid in 72 hours for progression of the bruise
How can you tell if a burn is intentional?
Intentional: symmetrical, circumscribed, same depth
Unintentional: splash pattern, more random
What is an appropriate hot water heater temperature?
if 140, takes 1 second to sustain a second degree burn
T/F A laxative or garlic can cause superficial burns.
What is an important part of a child abuse work-up?
skeletal survey--gets tons of pictures & detects fractures
What is the ddx for fractures?
prematurity leading to osteopenia
T/F Abdominal trauma is less damaging to children, rarely fatal.
False. Very dangerous b/c not very much musculature in abdominal wall & internal organs can get damaged. #2 cause of death.
Some things seen w/ abuse head trauma
sometimes see subdural hematomas (tearing of bridging veins), whiplash injuries
What is an exception to the rule that a low level fall won't kills you?
Very short fall that hits just right can cause epidural hematoma & kill you.
also if you have an intracranial defect, bleeding disorder, ruptured AV malformation, glutaric acidemia type 1.