9-28 notes

9-28 notes - 9-28 • • • • • • • • • •...

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Unformatted text preview: 9-28 • • • • • • • • • • • • Child abuse: causing bruising or injury requiring medical treatment (starvation, corporal punishment, or neglect) Usually when reported: unexplained injury, contradictory or bizarre history, delay in seeking medical treatment 40% seek treatment morning after, 40% 1-4 days later Sometimes untreated fractures Subdural hematomas don’t occur spontaneously Many parents claim short fall as the reason for medical treatment – but in younger children short fall does not cause that much damage CNS, misc – infants Arson, beatings – toddler Gunshot, pedestrian injuries – school age Short fall o 0-14 yrs o <1% skull factures o Hospital bed, bunk bed, sofa, dropped, high chairs, bed o Without fatalities 3,558 cases, with fatalities 909 Categories o Repetitive Recent and old injuries • Hemorrhage from ruptured organs • Subdural hemorrhage • Multiple soft tissue injuries without parenchymal damage • Death due to hypotension (shock) Single episode • Usually shaking type injuries • No evidence of previous trauma • Usually first child, upper or middle class Starvation and neglect • Lack of provision (food, clothing, and sanitation) • Thymic atrophy, lower subcutaneous fat, empty GI tract, fatty liver • Weight <3% • Sometimes child cleaned up before parent reports CPR (even improperly done) usually no organ lacerations, retinal hemorrhage, rib fractures (children still have lots of cartilage) ...
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This note was uploaded on 12/21/2011 for the course ZOL 320 taught by Professor Kopachik during the Fall '11 term at UCSB.

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