ChildAbuse2.25.docx - Child Abuse Physical abuse...

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Child Abuse Physical abuse Definition: common manifestations include bruises, burns, fractures, head trauma, and abdominal injuries History: discrepant history, in which the history offered by the caregiver is not consistent with clinical findings PE: abrasions, alopecia, bites, bruises, burns, dental trauma, fractures, lacerations, ligature marks, scars Diagnostic Tests: X-rays: “bucket handle” fractures of long bones in infants, spiral fracture of extremities in nonambulatory infants, rib fractures, spinous process fractures, fractures in multiple stages of healing CT or MRI: subdural hematoma CBC: if multiple bruises present Sexual abuse Definition: 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 the laws and taboos of a society (incest, sexual assault or rape, pedophilia) History: The child may be brought in for routine care or for an acute problem, and sexual abuse may be
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ChildAbuse2.25.docx - Child Abuse Physical abuse...

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