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Quickchecks

1
Burns with a clear line of demarcation between burned and uninvolved skin are suspicious for abuse.

a)
b)
Correct. Accidental scald burns usually involve splashes, whereas forced submersion leads to a sharp demarcationIncorrect. Accidental scald burns usually involve splashes, whereas forced submersion leads to a sharp demarcation.Your answer has been saved.
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2
A 2 year old with a spiral fracture of the distal tibia most likely acquired the injury through abuse.

a)
b)
Correct. Although abuse should be considered, this is the site of a "toddler's fracture," which occurs when the child jumps onto a flat foot - the leg continues to rotate while the foot remains fixed on the floor. Spiral fractures require a rotational force, so may also be produced when an adult twists a child's limb; again, the reported mechanism of injury must correlate with the type of injury seen or abuse should be suspected.Incorrect. Although abuse should be considered, this is the site of a "toddler's fracture," which occurs when the child jumps onto a flat foot - the leg continues to rotate while the foot remains fixed on the floor. Spiral fractures require a rotational force, so may also be produced when an adult twists a child's limb; again, the reported mechanism of injury must correlate with the type of injury seen or abuse should be suspected.Your answer has been saved.
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3
Delay in seeking medical care for an injury is suspicious for abuse.

a)
b)
Correct. Other factors suggestive of abuse include an inconsistent story or a proposed mechanism that is not congruent with the injury or with the developmental stage of the child.Incorrect. Other factors suggestive of abuse include an inconsistent story or a proposed mechanism that is not congruent with the injury or with the developmental stage of the child.Your answer has been saved.
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