Download Child Abuse and Neglect: A Diagnostic Guide for Physicians, by Vincent J. Palusci, Howard Fischer PDF

By Vincent J. Palusci, Howard Fischer

Bruises -- Abusive burns -- Cutaneous stipulations mimicking baby abuse -- Imaging baby abuse -- Ocular trauma -- Otolaryngologic manifestations of abuse and forget -- acceptance of kid abuse through dentists, future health care pros, and legislations enforcement -- Abusive stomach trauma -- Anogenital findings and baby sexual abuse -- baby maltreatment fatalities -- Failure to thrive -- Munchausen syndrome by means of proxy

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Additional info for Child Abuse and Neglect: A Diagnostic Guide for Physicians, Surgeons, Pathologists, Dentists, Nurses and Social Workers

Sample text

Each photograph should also include the patient’s name, medical record, name of the photographer, and the practitioner (if an outside photographer is used). There should always be careful and thorough written documentation of all the lesions in the event of lost or destroyed photographs. 90 91 92 93 94 95 Bruises 90–99 96 97 98 99 A 16-year-old female who reported being approximately 100 acute lesions in total and a few beaten by her uncle with an extension cord a few older scars noted as well.

Examination A small bruise was noted on the right anterior shoulder. Work-up for coagulopathy was normal. The diagnosis was suspected shaken baby. 33 34 Chapter 2 80 81 82 83 84 85 80–85 A 4-year-old male brought in with ear pain. Bruises on his face were reportedly inflicted by his 5-year-old sister. Examination revealed bruising and scars on his face and forehead, as well as bruises on back and loop mark scars on bilateral thighs. Ear examination showed left perforated eardrum with hemotympanum.

Linear bruises and loop marks are consistent with belt mechanism. Old scars and recent injuries were noted. The diagnosis was child abuse. 58 An 8-year-old male (sibling of the patient in 57) with linear bruises and scars on his back. He was also found to have scars on his chest and abdomen reportedly from the handlebar of a bicycle. Bruises 59 62 60 61 59–61 A 3-year-old female brought in with ear 62 A 7-year-old male who had been returned to pain and found to have an incidental finding of his father’s custody and alleged he was hit with a belt circumferential bruising and abrasion on both wrists.

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