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Flashcards in Abuse & Neglect Deck (39)
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1

Define Child Abuse

Serious injury inflicted upon a child by a parent or caretaker

2

Major Types of Child Abuse

Physical abuse
Sexual abuse
Emotional abuse
Child neglect

3

Most common perpetrators in child abuse

Biological parents
Nonbiological parents/partners
Other adult

4

Risk Factors for Child Abuse

Young or single parents
Lower levels of education
Abusers were abused themselves as children
Drugs/alcohol addiction and/or psychiatric illness

5

Environment of Child Abusers

Stress factors within the family
Social isolation
Distant or absent extended family
Accepting violence as a means of problem solving

6

Children More Likely to be Victims

Younger than 3
Past abuse
Children with speech/language disorders, learning disabilities, non-conduct psych problems
Children with handicaps, chronic illness
Hyperactive, adopted, & step-children

7

Most prevalent form of child abuse

Child neglect

8

Define Child Neglect

Failure to provide for a child's basic physical, emotional, education, or medical needs

9

Types of Child Neglect

Physical neglect
Emotional neglect
Educational neglect
Medical neglect

10

Management of Child Neglect

Identify/recognize the problem
Discuss with family/interdisciplinary team

11

Management of Cases of Medical Neglect

Simplify care as much as possible
Give written instructions
Remove barriers to access

12

Why hospitalize a patient for child neglect?

Serious medical conditions
Protect the child
Observe parent/child interaction

13

Clinical Manifestations of Child Neglect

Orofacial injuries
Bruises
Bite marks
Burns
Fractures

14

Types of Orofacial Injuries in Child Neglect

Intraoral injuries
Burns
Maxilla, mandible, or facial bone fractures
Oropharyngeal gonorrhea or syphilis
Black eyes
Basilar skull fracture
Bruising/scarring corners of the mouth
Traumatic alopecia

15

Bruises in Abused Children

In clusters
In pattern of an implement suggest inflected injury
Ligature marks or rope burns

16

Differential Diagnosis of Bruises

Bleeding disorders
Salicylate ingestion
Henoch-Schonlein purpura
Mongolian spots

17

Types of Burns

Brands/contact burns
Cigarette burns
Immersion burns
Microwave oven burns
Stun gun burns

18

Reason to Suspect Fractures

Doesn't fit explanation
Multiple stages of healing

19

Differential Diagnosis of Burns

Phyophotodermatitis
Complementary & alternative therapies
Congenital insensitivity to pain

20

What are some complementary and alternative therapies?

Garlic applied to skin
Cupping
Coining
Moxibustion

21

What to assess in the PE

Skin lesions, swelling, deformity
Bone tenderness
Retinal hemorrhages
Trauma to genitals or mouth

22

Parental behaviors that may lead to child abuse

Arguing, roughness, or violence
Aloofness/lack of emotional intersection
Inappropriate response to severity of injury
Inappropriate delay in seeking medical care
Partial/frank confession by parent

23

Lab/Studies to Diagnose Child Abuse

CBC, PT, PTT
CMP
UA- hematuria
Toxicology
Skeletal survey
Neuro-imaging
Ophthalmologic exam

24

Define Sexual Assault

Attempted sexual touching of another person without their consent & includes sexual intercourse, sodomy, and fondling

25

Define Sexual Abuse For Children

When a child engages in sexual activity for which he/she cannot give consent, is unprepared for developmentally, cannot comprehend, and/or an activity that violates the law or social taboos of society

26

Sexual Abuse Includes

Fondling
Oral-genital, genital, or anal contact with a child
Exhibitionism
Voyeurism
Involving child in porn

27

Define Exhibitionism

Man/woman shows naked body to another

28

Define Voyeurism

Peepers looking at naked children

29

Presentation of Sexual Abuse

Stomach ache
Sore throat
Rectal/genital bleeding
STIs
Pregnancy
Rectal/genital trauma

30

Goals of Evaluation of Sexual Abuse in Child

Identify injuries
Screen/diagnose STIs
Evaluate/reduce risk of pregnancy
Document findings
Gather evidence