Child Abuse and Neglect

Table of Contents

1. Child Abuse and Neglect
2. What is Child Abuse and Neglect?
3. Physical Abuse
   1. Bruises
   2. Case Study #1
   3. Burns
   4. Case Study #2:
   5. Fractures
   6. Case Study #3:
   7. Quickchecks
   8. Abusive Head Trauma in Infants
   9. Evaluating a child for suspected physical abuse
4. Sexual Abuse
5. Child Neglect
6. When you suspect abuse or neglect
7. Domestic Violence and Children
8. Preventing Child Abuse
9. References

Case Study #3:

You see a 15-month-old infant in clinic for a scheduled well-child checkup. The mother says the infant has not been using his arm very much for the past couple of days, ever since he fell off his tricycle. He is behind on his immunizations and has not had a clinic appointment for 5 months. On examination, you notice the infant cries when his right arm is touched. He has bruises on the buttocks, swelling near the wrist of the right arm, and marked tenderness to palpation over the forearm.

You obtain the following X-ray:

Fig. 27: Forearm X-ray in a 15 month old.

Is the parent's explanation consistent with the physical findings? Explain your answer.

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