PPT-“FRACTURES: WHEN TO CONSIDER ABUSE”

ARNE GRAFF MD MAYO CLINICROCHESTER OBJECTIVES RECOGNIZE RISK FACTORS ASSOCIATED WITH ABUSE DEVELOP EVALUATION PROCESS HOW TO DEVELOP AN IMPRESSION DISCLOSURE NONE DO PARTICIPATE IN COURT CASES FOR BOTH THE DEFENSE AND PROSECUTORS. The Child Ab use Prevention and Treatment Act CAPTA has these definitions Child abuse and neglect At a minimum any recent act or failure to act o n the part of a parent or caretaker which results in death serious physical or emotional harm sexual a Dr. Ravi . Nanayakkara. . Definition. Acts of commission or omissions leading to actual or potential damage to health and development and exposure to unnecessary suffering.. Intermediate objectives. Skeletal Trauma. Case 1. 3 year old boy with cerebral palsy GMFCS IV, wakes up and noted to have pain and irritability with manipulation of the right arm. He is non-verbal but reliably vocalizes indicators of his emotional state. No previous fractures. On Valproic Acid for generalized seizures.. A . fracture . is a break in the structural continuity of bone. It my . be . no more than a crack, a crumpling or a splintering of the cortex; more often the break is complete and the bone fragments are . Prof & Head. Musculoskeletal Unit. . PT management for patella fractures treated conservatively. During the first 2 weeks. Cast is inspected for breakages & trimmed above the malleoli. . The limb is kept elevated to prevent edema.. Cindy W. Christian, MD. Director, Safe Place: The Center for Child Protection and Health . The Children’s Hospital of Philadelphia. TM. Prepared for your next patient.. Disclaimers. . Statements and opinions expressed are those of the authors and not necessarily those of the American Academy of Pediatrics. Emilia Wawrzkowicz. Consultant Paediatrician . Designated Doctor for Safeguarding Children. Safeguarding in ED. All staff are aware of and follow the recommendations outlined in statutory, royal college and other key guidance. Robert Allan Shapiro, MD. University of Cincinnati College of Medicine. Objectives. At the end of this session, participants will have an increased knowledge about typical injuries concerning for child physical abuse.. Consultant Pediatrician. DEFINITION. ETIOLOGY/RISK FACTORS. DIAGNOSIS. CLINICAL FINDINGS. LABORATORY STUDY. DIFFERENTIAL DIAGNOSIS . PROGNOSIS. MANAGEMENT/ PREVENTION. CONTENT. Child abuse. or . child maltreatment. Professor of Pediatrics. When to worry about abuse in young children with fractures. Fractures in young children. 1. When to worry about abuse. 2. What data can be helpful. 3. Are there fractures highly specific for abuse? . Telfah. objectives. Definition. Types. Epidemiology. Doctor’s role. Management . Definition . Child abuse  . is when a parent or caregiver, whether through action or failing to act, causes injury, death, emotional harm or risk of serious harm to a child.. Clinton J. Orloski MD. Common Fractures. 4. th. and 5. th. Metacarpal Fractures (“Boxer Fractures”). Distal Radius Fracture (”. Colles. Fracture”). Scaphoid Fracture (also beware of pain at snuffbox . 1 SALTER-HARRIS CLASSIFICATION The Salter-Harris classification scheme is disturbance can occur after any frDisplaced physeal fractures should be reduced as soon as possible by an experienced clinicia . March 2013. Dr . Amgaad. . Faltaous. Consultant Paediatrician/ CE. INTRODUCTION. Kempe. 1960’s child abuse “a hidden paediatric problem”. Medical evidence only 1 piece of jigsaw. successful protection of child dependant on effective inter-agency working at every stage.