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Published on: November 6, 2018
Physical Abuse: Cutaneous Injuries.
Emily Killough1, Danielle Horton1, Sara Kilbride1
1UMKC School of Medicine, 2401 Gillham Road, Kansas City, MO 64108, USA; Child Abuse Pediatrician, Division of Child Adversity and Resilience, Children's Mercy Kansas City, 2401 Gillham Road, Kansas City, MO 64108, USA.
Pediatric Clinics of North America
|May 7, 2025
Summary
Pediatric clinicians should assess child physical abuse by considering injury patterns, location, and the child
Area of Science:
- Pediatric medicine
- Child abuse recognition
- Forensic pediatrics
Background:
- Cutaneous injuries are the most frequent sign of child physical abuse.
- Accurate identification of abuse-related injuries is crucial for pediatric clinicians.
- Distinguishing abuse from medical mimics requires careful evaluation.
Purpose of the Study:
- To outline key features for identifying child physical abuse in pediatric clinical practice.
- To emphasize the importance of a thorough differential diagnosis.
Main Methods:
- Review of clinical indicators for child physical abuse.
- Focus on age/developmental abilities, injury location, and injury patterns.
- Importance of comprehensive medical evaluation.
Main Results:
- Age, injury location, and pattern are critical in assessing potential abuse.
- A broad differential diagnosis is essential to avoid misdiagnosis.
- Early detection and reporting are vital for child protection.
Conclusions:
- Pediatric clinicians must consider specific injury characteristics when evaluating potential abuse.
- Thorough assessment prevents misdiagnosis of medical conditions as abuse.
- Timely identification and reporting safeguard children from further harm.
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