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A Practical Guide to the Evaluation of Child Physical Abuse and Neglect

Editors: Giardino, Angelo P.; Lyn, Michelle A.; Giardino, Eileen R.

DOI: 10.1007/978-1-4419-0702-8

ISBN: 978-1-4419-0701-1

Publisher: Springer New York - Springer Journals

Feb 22, 2010

1 - 10 of 16 Chapters

LitStream

Introduction: Child Abuse and Neglect

Giardino, Angelo P.; Lyn, Michelle A.; Giardino, Eileen R.

Pages: 3 –30

[Child abuse and neglect, child maltreatment, and child victimization are interchangeable terms that refer to a major public health problem confronting children and families. Abuse manifests when the child or adolescent’s caregiver fails to provide for the youth’s health and well-being either by...
LitStream

Evaluation of Physical Abuse and Neglect

Girardet, Rebecca G.; Giardino, Angelo P.

Pages: 31 –81

[It may be difficult to identify children who are victims of physical abuse. Many injuries are not pathognomonic, and the diagnosis may not be obvious (Kellogg et al., 2007). The history given by the caregiver may be misleading or incomplete, causing a delay or mistake in diagnosis. In addition,...
LitStream

Skin Injury: Bruises and Burns

Endom, Erin E.; Giardino, Angelo P.

Pages: 85 –140

[Careful examination of the child’s skin is an essential component of the abuse evaluation. Injuries to the skin are common findings in maltreated children and may include (a) contusions (bruises), abrasions, lacerations; (b) burns from scalding, direct contact with flame or hot objects, and...
LitStream

Fractures and Skeletal Injuries

Harper, Nancy S.; Graff, Arne H.

Pages: 141 –206

[Theidentification of a skeletal injury may be the first indication of abuse. Estimates of the frequency of fractures in abused children vary from approximately 10% to 50% depending on the population studied, the type of diagnostic imaging used to detect fractures, and the age of the patients...
LitStream

Abdominal and Thoracic Trauma

Shenoi, Rohit

Pages: 207 –229

[Of all the types of injuries resulting from child abuse, abdominal, and thoracic injuries are the most dangerous. They rank as the second most lethal type of inflicted injuries in children after head injuries. Victims of child abuse with significant abdominal and thoracic injuries often succumb...
LitStream

Abusive Head Trauma

Endom, Erin E.; Mendez, Donna

Pages: 231 –259

[Abusive head trauma (AHT) is the leading cause of trauma deaths in infants (Gerber, 2007). AHT is most common in the first year of life; as many as 95% of severe head injuries in the first year of life are due to inflicted injury (Duhaime et al., 1987; Ettaro, Berger, & Songer, 2004; Hadley,...
LitStream

Neglect and Failure to Thrive

Ben-Galim, Tal; Louis, Penelope T.; Giardino, Angelo P.

Pages: 261 –290

[Neglect is the most common form of child maltreatment, representing approximately 64% of the 905,000 substantiated cases of maltreatment in the United States in 2006 (U.S. Department of Health & Human Services, 2008). It represents a situation in which there is a risk of harm to a child because...
LitStream

Medical Child Abuse

Isaac, Reena; Roesler, Thomas A.

Pages: 291 –305

[A few years ago this chapter might have begun with an account of the Baron von Munchausen. It might have chronicled the life of an elderly German soldier turned raconteur, who lived from 1720 to 1797, who loved to frequent the salons of Europe and entertain people with his stories, and who was...
LitStream

Other Patterns of Injury and Child Fatality

Palusci, Vincent J.; Schmidt, Carl J.; Hammel, Pamela Wallace

Pages: 307 –332

[In addition to overt skin, head, and abdominal injuries, there are more subtle ways in which parents and caregivers physically harm their children. These are more insidious injuries to the mouth and teeth through abuse or neglect, or children can be intentionally poisoned with drugs or...
LitStream

Maltreatment of Children and Youth with Special Healthcare Needs

Sullivan, Patricia M.; Knutson, John F.; Ashford, Eleanor J.

Pages: 335 –351

[Children with special healthcare needs have an increased risk for child abuse and neglect (Sullivan & Knutson, 1998; Sullivan & Knutson, 2000). The maltreatment of these children and youth is frequently unidentified and unrecognized in healthcare settings. Consequently, efforts are needed to...

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