Elder Abuse Workup

Updated: Nov 12, 2019
  • Author: Trevor John Mills, MD, MPH; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Workup

Laboratory Studies

Evaluate for evidence of infection, dehydration, electrolyte abnormalities, malnutrition, improper medication administration, and substance abuse in patients who have been abused.

  • CBC

  • Basic metabolic panel

  • Urinalysis

  • Calcium, magnesium, phosphorus

  • Serum levels of relevant medications

  • Urine drug screen

  • Ethanol level

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Imaging Studies

X-rays of relevant body parts can be used to detect fractures (unusual or pathologic).

A dead CT scan can be used to detect intracranial bleeding as a result of abuse or to detect a possible explanation for injuries (hydrocephalus causing ataxia leading to falls) or altered mental status. [12]

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Procedures

Pelvic examination with forensic evidence collection in cases of sexual assault.

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