Description The effects of phys...
Description
The effects of physical child abuse often include multiple fractures that occurred at different times in the past. It may also include numerous other signs of injury, such as skin burns or bruises. Physical abuse tends to occur at moments of greatest stress, when someone strikes out in anger at the child. Many of those who commit physical abuse have been abused themselves as children.
Symptoms
Fussy, poor feeding, vomiting, lethargy, seizures, burns, unexplained loss of consciousness, bruising, burns, bite marks, bulging fontanelle.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. The diagnosis relies on the discovery of injuries not compatible with the history given. Finding multiple fractures of different ages suggests the diagnosis. Head and abdominal CT scans may be performed to rule out other serious injuries.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Urinalysis (UA), X-ray
Specialists:
Pediatrics, Family Practice, Pediatric and Adolescent Psychiatry
Workup:
A history and physical exam will be performed. The diagnosis relies on the discovery of injuries not compatible with the history given. Finding multiple fractures of different ages suggests the diagnosis. Head and abdominal CT scans may be performed to rule out other serious injuries.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Urinalysis (UA), X-ray
Specialists:
Pediatrics, Family Practice, Pediatric and Adolescent Psychiatry
Treatment
Treatment depends on the injury. The most important feature is removing the child from the dangerous environment and involving the child protective services agency.