Physical Child Abuse Questions & Answers

Updated: Apr 24, 2017
  • Author: Angelo P Giardino, MD, MPH, PhD; Chief Editor: Caroly Pataki, MD  more...
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Questions & Answers

Overview

What types of injuries may result from physical child abuse?

What are the signs of physical child abuse?

Which bruise patterns are characteristic of physical child abuse?

Which types of fractures are characteristic of physical child abuse?

Which burn patterns are characteristic of physical child abuse?

Which screening tools are used in the assessment of suspected physical child abuse?

Which types of injuries should be photographed and documented during the workup of suspected physical child abuse?

How is a child with physical abuse injuries treated?

How are the injuries of physical child abuse characterized?

How is physical child abuse defined?

What are the risk factors for physical child abuse?

What is the ecological model for understanding physical child abuse?

What is the role of environmental stress in the etiology of physical child abuse?

How are domestic violence, intimate partner violence and physical child abuse related?

What is the pathophysiology of physical child abuse injuries?

What is the pathophysiology of physical child abuse-related fractures?

How are healing bone injuries dated in cases of physical child abuse?

What is the pathophysiology of physical child abuse-related burns?

What is the pathophysiology of physical child abuse-related bruising?

What is the pathophysiology of physical child abuse-related CNS trauma?

What is the pathophysiology of abusive head trauma in children?

What is the incidence of physical child abuse in the US annually?

What are the mortality rates associated with physical child abuse?

What is the morbidity associate with physical child abuse?

What are the racial predilections of physical child abuse?

What are the sexual predilections of physical child abuse?

Which age groups are at highest risk of physical child abuse?

Presentation

What is the focus of the clinical history to evaluate suspected physical child abuse?

Which clinical history findings are characteristic of physical child abuse?

Which physical findings should raise suspicion of physical child abuse?

Which physical findings of bruising should raise suspicion of physical child abuse?

Which skeletal findings should raise suspicion of physical child abuse?

Which burn pattern findings should raise suspicion of physical child abuse?

What causes physical child abuse?

DDX

How is physical child abuse differentiated from accidental injury?

Which conditions are included in the differential diagnoses of physical child abuse when bruising is the presenting symptom?

Which conditions are included in the differential diagnoses of physical child abuse when skeletal fractures are present?

Which conditions are included in the differential diagnoses of physical child abuse when burns are present?

Which conditions are included in the differential diagnoses of physical child abuse when CNS injuries are present?

Which conditions are included in the differential diagnoses of physical child abuse when abusive head trauma (AHT) is present?

Which conditions are included in the differential diagnoses of physical child abuse when retinal hemorrhage is present?

Workup

What is the role of lab tests in the workup of suspected physical child abuse?

What is the role of imaging studies in the workup of suspected physical child abuse?

What is the role of photodocumentation in the workup of suspected physical child abuse?

Treatment

How is physical child abuse treated?

What is the role of surgery in the treatment of physical child abuse?

Which specialist consultations are beneficial when physical child abuse is suspected?