How good are your hunches when it comes to cases of possible child abuse? Can you determine which cases need to be reported to Child Protective Services and which require a medical diagnosis? See how well you do with the 5 cases presented here.
Test yourself on symptoms of Löfgren syndrome, comorbdities of Down syndrome; complications of diabetes, and more in this week’s quiz.
Botox approved for urinary incontinence or frequency; screening for partner violence; Norovirus update; immunization schedule update; new name for PCOS?
A normal genital examination does not preclude sexual abuse.
New USPSTF guidelines call for screening of all women of child-bearing age for intimate partner violence.
The incidence of substantiated cases of serious child abuse showed a 55% decrease from 1992 to 2009, according to national data.
Swelling and redness have progressed over the past 16 hours in this 5-month-old boy. Would you consider child abuse in your differential diagnosis?
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For the past 20 years, I have been visiting developing nations to deliver healthcare. Recently, I made a conscious decision to look for a case of child abuse to write about. Late in 2011, during one of my visits to a third world country, I encountered multiple situations that rose to the level of possible child abuse. Here, I describe 3 such cases.
A 23-year-old undocumented citizen came to a community clinic with her children. She asked to see the social worker. She stated that she was the victim of domestic abuse in her home the night before her visit. She was well known in the clinic and this was not her first experience with domestic violence
A 35-year-old woman presented to the emergency department (ED) with 2 black eyes, facial swelling, and other injuries (Figure 1). She said that she had been in an all-terrain vehicle accident the day before, in which she hit her face on the handlebar. She said she had lost consciousness for an unknown period and since the accident had experienced headache, dizziness, nausea, and pain over much of her body.