Abstract
Emergency clinicians are likely to encounter physical abuse in children, and they must be prepared to recognize its many manifestations and take swift action. Pediatric nonaccidental injury causes considerable morbidity and mortality that can often be prevented by early recognition. Nonaccidental injuries present with a wide array of symptoms that may appear to be medically inconsequential (such as bruising in a premobile infant), but are actually sentinel injuries indicative of child abuse. This issue provides guidance regarding factors that contribute to abuse in children, key findings on history and physical examination that should trigger an evaluation for physical abuse, and laboratory and radiologic tests to perform when child abuse is suspected.
MeSH terms
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Burns / diagnosis
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Burns / therapy
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Child
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Child Abuse / diagnosis*
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Child Abuse / statistics & numerical data
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Child Abuse / therapy*
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Child, Preschool
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Contusions / diagnosis
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Contusions / therapy
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Craniocerebral Trauma / diagnosis
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Craniocerebral Trauma / therapy
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Diagnosis, Differential
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Emergency Medical Services / statistics & numerical data
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Evidence-Based Medicine
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Female
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Fractures, Bone / diagnosis
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Fractures, Bone / therapy
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Guidelines as Topic
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Humans
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Infant
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Intensive Care Units, Pediatric* / statistics & numerical data
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Male
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Mandatory Reporting*
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Physical Examination
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Physician's Role*
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Practice Patterns, Physicians'
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Retinal Hemorrhage / diagnosis
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Retinal Hemorrhage / therapy
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United States / epidemiology
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Wounds and Injuries / diagnosis*
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Wounds and Injuries / epidemiology
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Wounds and Injuries / etiology
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Wounds and Injuries / therapy*