Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The bleeding child; is it NAI?

A E Thomas1

  • 1Department of Haematology, Royal Hospital for Sick Children, Edinburgh EH9 1LF, UK. angela.thomas@luht.scot.nhs.uk

Archives of Disease in Childhood
|November 24, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Organic composition of ultrafine particles formed from automotive braking.

Environmental science. Processes & impacts·2025
Same author

Unrecognized volatile and semi-volatile organic compounds from brake wear.

Environmental science. Processes & impacts·2024
Same author

Biosimilars and haemophilia.

Haemophilia : the official journal of the World Federation of Hemophilia·2018
Same author

Tibiotalocalcaneal arthrodesis with a compressive retrograde nail: A retrospective study of 59 nails.

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons·2015
Same author

[Evaluation of hematoma susceptibility in children].

Praxis·2011
Same author

The application of the Rh factor in general practice.

Journal of the Medical Association of the State of Alabama·2010
Same journal

Protecting adolescent confidentiality in the digital age: a global call for adolescent-informed electronic health records.

Archives of disease in childhood·2026
Same journal

Diagnostic accuracy study assessing the ability of paediatric asthma scores to predict admission following initial emergency department bronchodilator therapy: a Clinical Asthma Scoring systems in Paediatric Emergency (CASPER) study.

Archives of disease in childhood·2026
Same journal

Artificial intelligence for child health: current capabilities and the next frontier.

Archives of disease in childhood·2026
Same journal

Troubled origins and lasting impact of the first insulin injection.

Archives of disease in childhood·2026
Same journal

Paediatric readiness assessment tools in emergency care: a scoping review.

Archives of disease in childhood·2026
Same journal

Building a paediatric workforce to deliver the NHS prevention agenda: time for paediatric public health medicine?

Archives of disease in childhood·2026
See all related articles

Distinguishing child abuse from bleeding disorders requires careful evaluation. A structured approach including specific hematological screening can help differentiate between non-accidental injury and inherited bleeding conditions.

Area of Science:

  • Pediatric Hematology
  • Child Abuse Investigation

Background:

  • Paediatric haematologists frequently encounter cases where bleeding in children may be due to abuse or an underlying bleeding disorder.
  • Incomplete histories and investigations can delay diagnosis and complicate cases, particularly when abuse is suspected and parents contest the findings.
  • Carers of children with bleeding disorders have sometimes been wrongly suspected of abuse.

Purpose of the Study:

  • To outline a systematic approach for differentiating between non-accidental injury and bleeding diathesis in children.
  • To improve diagnostic accuracy and reduce delays in managing children with unexplained bleeding.
  • To provide guidance for paediatric haematologists and clinicians involved in child protection cases.

Main Methods:

  • Highlighting key questions for detailed patient history taking.

Related Experiment Videos

  • Recommending a specific haematological screening panel for children under investigation for bleeding in the context of suspected non-accidental injury.
  • Emphasizing the importance of multidisciplinary discussion of abnormal findings with a haematologist.

    • Main Results:

    • A structured approach can largely prevent diagnostic difficulties.
    • Improved history taking and targeted investigations aid in distinguishing abuse from bleeding disorders.
    • Early and clear communication with haematologists facilitates accurate diagnosis.

    Conclusions:

    • Systematic evaluation, including specific haematological screening, is crucial for differentiating child abuse from bleeding diathesis.
    • This approach can expedite diagnosis, reduce misdiagnosis, and protect families from undue suspicion.
    • Collaboration between clinicians and haematologists is essential for optimal patient care in these sensitive cases.