paed safeguarding

Question 1

safeguarding

Answer 1

preventing harm and promoting welfare of all children

Question 2

child protection

Answer 2

part of safeguarding process to protect and individual and/or families

Question 3

A 16 year old girl has been referred for review by the orthopaedic specialist by her GP with a 3 month history of worsening pain and swelling around her right knee. She is a keen athlete and has recently been preparing for football trials. She believes this may have started following an injury to her knee whilst playing several months ago. Recently the pain has become so bad that she has had to miss training even though she is now taking regular paracetamol. She reports the pain is worse at night. On examination there is a tender mass noted above the right knee and the thigh appears enlarged compared to the left. The patient is also noted to be walking with a limp.

An x-ray of the right knee shows new disorganised bone growth around the distal end of the right femur with a poorly defined border. There is also area of radiolucent lesions and a sunburst appearance of the periosteum is noted.

Given her presentation what is the most likely diagnosis?

Answer 3

OS

Question 4

arc bruises

Answer 4

bite marks

Question 5

what invetigations would you do

Answer 5

full skeletal survey
retinal examination
CT head

Question 6

HEADs assessment

Answer 6

do you want your parents in the room or not

HOME - who is with them , do they feel safe , own bedroom
E- education - school friendships

a - activities - alcohol, exercise, what do you when you get home from school and in your free time, what do your friends like to do , drugs, eating

D- drugs

s-sex
S- social media
s-self harm