Term
| Traits of physical abuser: |
|
Definition
- lack of child developmental knowledge
- abused as children
- lack of coping skills
- external stress or crisis
- socially isolated |
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|
Term
| 30-40% overlap b/w domestic violence and child abuse |
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Definition
|
|
Term
Some kids don’t show any signs, others are hypervigilent, don’t go to parents for soothing
Fear of parents
Reports injury by parent
Fears going home
Lack of eye contact
Wary of physical contact
Apprehensive when other children cry
No expectation of comfort/parental assurance
Flat affect
Aggressive behavior |
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Definition
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Term
| MC injury associated with child abuse: |
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Definition
|
|
Term
| you CANNOT date a bruise and say how old it is |
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Definition
|
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Term
| factors that affect bruising: |
|
Definition
- Race
- Location
- Prior episodes
- Other: bleeding disorders |
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Term
| Bruise characteristics that suggest abuse: |
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Definition
- Different planes of the body
- Different stages of healing
- Central distribution
- Bruises on the back
- Pattern injuries |
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Term
| Any bruising on an infant less than __ months of age, suggests abuse, |
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Definition
|
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Term
| Medical and cultural causes of bruising: |
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Definition
- ITP
- Hemophilia
- Moxibustion
- Cao Goa
- Cupping
- Mongolian spot
- Ehlers-Danlos syndrome |
|
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Term
| __% of burns in children less than age 3 are abusive. |
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Definition
|
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Term
| Peak age of abusive burns is __ __ mostly due to attempting __ __ too early. |
|
Definition
- 13-24 months
- potty train too early |
|
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Term
| what 3 injuries related to blunt force trauma account for most abuse related abdominal trauma deaths? |
|
Definition
- Duodenal hematoma
- Liver lacerations/contusions (maybe spleen also)
- Bowel rupture |
|
|
Term
| Bruises anywhere on the body and less than 6 months old: |
|
Definition
|
|
Term
| Abnormal ALT/AST, amylase/lipase: |
|
Definition
|
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Term
| CHI children should be referred to ___ to look for __ ___. |
|
Definition
- opthalmology
- retinal hemorrhages |
|
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Term
| when are skeletal surveys mandatory? |
|
Definition
All cases of suspected abuse in children 2 y/o and younger.
(limited value in kids older than 5 y/o. case by case basis b/w ages 2 and 5 y/o.) |
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Term
| High specificy fractures for abuse: |
|
Definition
MRSSS
- Metaphyseal fractures (almost always abuse)
- Rib fractures, esp posterior, if no MVA or CPR probably abuse
- Scapula fracture
- Spinous process fracture
- Sternal fracture |
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Term
| Fractures with moderate specificity for abuse: |
|
Definition
MEDVFC
- Multiple fractures, esp bilateral
- Epiphyseal separations
- Digital fractures
- Vertebral body fractures and subluxations
- Fractures of different ages
- Complex skull fractures |
|
|
Term
| Low specificity fractures for abuse: |
|
Definition
SCLL
- Subperiosteal bone reaction
- Clavicle fractures
- Long bone shaft fractures
- Linear skull fractures |
|
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Term
| with SBS are there usually outward signs of abuse? |
|
Definition
|
|
Term
|
Definition
- usu less than 2 y/o
- severe morbidity and mortality
- shearing tears
- axonal injuries
- retinal hemorrhages
- subdural hematoma
- cerebral edema |
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|
Term
|
Definition
- irritability
- poor feeding
- vomiting
- lethargy |
|
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Term
|
Definition
- respiratory distress
- seizures
- coma
- death |
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Term
| children who are vulnerable targets to sexual abuse: |
|
Definition
- insecure
- neglected
- craving adult attention
- lonely
- unsupervised
- parents abuse substances
- foster children
- previous victims of abuse
- learning disabled
- exposed to multiple non-familial caretakers |
|
|
Term
Sexual abuse:
1. Engagement
2. Enactment
3. Secrecy
4. Disclosure
5. Recantation |
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Definition
|
|
Term
| important positions for physical exam when inspecting for sexual abuse: |
|
Definition
- Frog leg (butterfly)
- Knee chest
- Lithotomy |
|
|
Term
| acute sexual abuse (< 96 hours ago), what should be done: |
|
Definition
- immediate forensics exam
- STD prophylaxis
- emergency contraception
- documentation of injuries |
|
|
Term
|
Definition
- HSV-1 anogenital lesions
- Condyloma accuminata |
|
|
Term
|
Definition
- Chlamydia
- HSV-2
- Trichomonas |
|
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Term
|
Definition
- Gonorrhea
- Syphilis
- HIV |
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