ABC of child abuse by Frank Bamford; Jacqueline Y Q Mok; Donna Rosenberg, MD

By Frank Bamford; Jacqueline Y Q Mok; Donna Rosenberg, MD

The fourth version of this crucial and hugely praised advisor has been considerably revised and up to date, supplying concise, functional details on a tough and distressing zone of paediatric drugs. This re-creation of the ABC of kid Protection now comprises extra chapters on stomach harm, overlook and failure to thrive. It offers the most recent details at the analysis and research of abuse, and explains the present roles of social providers and the legislation in safeguarding children.

Written by means of major paediatricians, psychiatrists, social employees and attorneys, this entire e-book is a useful reference for pros eager about children’s welfare, together with common practitioners, emergency employees, paediatricians, police surgeons, psychiatrists, future health viewers, social employees, and attorneys

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Frequency and natural history of subdural haemorrhages in babies and relation to obstetric factors. Lancet 2004;363:846–51. CHAPTER 7 Ophthalmic Presentations Alex V Levin Virtually any ocular injury may be the result of child abuse. Ocular injury is the presenting sign of physical abuse in 4–6% of cases of child abuse. 1). Non-compliance with medical treatment and neglect can also result in permanent loss of vision. Sexual abuse may be the route of transmission of a sexually transmitted disease to the eyes.

3 This child ultimately died of a subdural haematoma and brain injury. Computed tomogram shows three rib fractures at various stages of healing. Note location of fractures. With compression of the chest by an adult, the posterior portions of the ribs articulate posteriorly and are fractured by impingement against the transverse process of the vertebra. crying or food intake may lead to a higher likelihood of rupture after impact. 3). Any part of the rib can be injured, but injury to the posterolateral aspects of an infant’s or toddler’s ribs, without a history of major trauma, strongly suggests abuse.

The associated brain damage results in a high mortality and severe morbidity that includes disability in survivors. Up to 30% of these children die. 3 Non-accidental, linear lacerations on scalp, caused by a machete. scopic finding in the brain is global neuronal hypoxia-ischaemia. Brain damage occurs from a cascade of events – ischaemia, hypoxia, and altered vascular permeability – that contributes to further cerebral oedema. Half of survivors sustain complex physical and developmental disabilities.

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