Abuse (Nonaccidental Trauma) - Revision history

ClaireLewis: Changed redirect target from Child abuse to Nonaccidental trauma

2019-05-27T22:13:47Z

Changed redirect target from Child abuse to Nonaccidental trauma

← Older revision		Revision as of 22:13, 27 May 2019
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	#REDIRECT[[~~Child abuse~~]]		#REDIRECT[[Nonaccidental trauma]]

Rossdonaldson1: Redirected page to Child abuse

2015-12-19T14:17:37Z

Redirected page to Child abuse

← Older revision		Revision as of 14:17, 19 December 2015
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	~~==Nonaccidental Trauma==~~		#REDIRECT[[Child abuse]]
	~~#abusive head trauma most common cause of traumatic death in infants~~
	~~#risk factors for abuse~~
	~~##infant~~
	~~##lower status~~
	~~##family problems~~
	~~##disability or prematurity of infant~~
	~~#historical alternans, or may present with medical complaints like irreg breathing, apnea, sz, irritable, lethargic, vomiting, poor feeding~~
	~~#retinal hem usually from abuse may rarely be from other trauma~~
	~~#most common abusive lesions are~~
	##[[~~SAH]]~~
	~~##subdural~~
	~~##interhemispheric blood~~
	~~##cerebral edema~~
	~~##same lesion not common with accidental trauma but possible~~
	~~#fx assoc with~~ abuse ~~are multiple, bilateral, cross sutures, diastatic, nonparietal, assoc with subdural~~
	~~#skull fx from short fall <3 ft usually linear~~

	~~==Recommendations==~~
	~~#ct if ams~~
	~~#consider ct if h/o loc, amnesia, sz, HA, vomiting, irritable, behavioral change~~
	~~#if mild sxs, no ct but observe~~
	~~#lower threshold if young <1-2 yrs since skull fx more common and more risk for abuse~~
	~~#image if significant scalp findings~~
	~~#consider abuse if no hx of trauma, delay in seeking care, changing story, repeated injuries, mismatch of hx with physical exam, wounds of diff stages of healing~~
	~~#call neurosurg if intracranial inj, skull fx depressed or widely diastatic~~

	* MADNATORY REPORTING if there is any suspicion, for details check your state's guidelines.
	** If you are suspicious, cannot discharge patient home unless you can guarantee a safe environment.

	~~==See also==~~
	*[[Head CT (Peds)]]
	*[[Sexual Assault]]

	~~==Source==~~
	~~Adapted from Pani~~

	~~[[Category:Peds]]~~
	~~[[Category:Trauma~~]]

Mcamilon: mandatory reporting of possible abuse

2014-09-06T18:53:43Z

mandatory reporting of possible abuse

← Older revision		Revision as of 18:53, 6 September 2014
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	#consider abuse if no hx of trauma, delay in seeking care, changing story, repeated injuries, mismatch of hx with physical exam, wounds of diff stages of healing		#consider abuse if no hx of trauma, delay in seeking care, changing story, repeated injuries, mismatch of hx with physical exam, wounds of diff stages of healing
	#call neurosurg if intracranial inj, skull fx depressed or widely diastatic		#call neurosurg if intracranial inj, skull fx depressed or widely diastatic

			* MADNATORY REPORTING if there is any suspicion, for details check your state's guidelines.
			** If you are suspicious, cannot discharge patient home unless you can guarantee a safe environment.

	==See also==		==See also==

Mcamilon: change to dc

2014-09-06T18:51:48Z

change to dc

← Older revision		Revision as of 18:51, 6 September 2014
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	#ct if ams		#ct if ams
	#consider ct if h/o loc, amnesia, sz, HA, vomiting, irritable, behavioral change		#consider ct if h/o loc, amnesia, sz, HA, vomiting, irritable, behavioral change
	#if mild sxs, no ct but observe ~~at home~~		#if mild sxs, no ct but observe
	#lower threshold if young <1-2 yrs since skull fx more common and more risk for abuse		#lower threshold if young <1-2 yrs since skull fx more common and more risk for abuse
	#image if significant scalp findings		#image if significant scalp findings

Rossdonaldson1: /* See also */

2011-07-16T21:29:34Z

Rossdonaldson1: /* Nonaccidental Trauma */

2011-07-16T19:52:23Z

Nonaccidental Trauma

← Older revision		Revision as of 19:52, 16 July 2011
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	#retinal hem usually from abuse may rarely be from other trauma		#retinal hem usually from abuse may rarely be from other trauma
	#most common abusive lesions are		#most common abusive lesions are
	##~~subarach hem~~		##[[SAH]]
	##subdural		##subdural
	##interhemispheric blood		##interhemispheric blood

Rossdonaldson1: /* See also */

2011-07-16T19:51:35Z

Rossdonaldson1: /* NONACCIDENTAL TRAUMA */

2011-05-21T18:47:17Z

NONACCIDENTAL TRAUMA

← Older revision		Revision as of 18:47, 21 May 2011
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	==~~NONACCIDENTAL TRAUMA~~==		==Nonaccidental Trauma==
	#abusive head trauma most common cause of traumatic death in infants		#abusive head trauma most common cause of traumatic death in infants
	#risk factors for abuse		#risk factors for abuse

Rossdonaldson1 at 18:46, 21 May 2011

2011-05-21T18:46:53Z

← Older revision		Revision as of 18:46, 21 May 2011
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	==NONACCIDENTAL TRAUMA==		==NONACCIDENTAL TRAUMA==
	#abusive head trauma most common cause of traumatic death in infants		#abusive head trauma most common cause of traumatic death in infants
	#risk factors for abuse		#risk factors for abuse
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	[[Category:Peds]]		[[Category:Peds]]
			[[Category:Trauma]]

Rossdonaldson1 at 18:46, 21 May 2011

2011-05-21T18:46:15Z

@@ Line 1: / Line 1: @@
+  ==NONACCIDENTAL TRAUMA==
-NONACCIDENTAL TRAUMA
+==Recommendations==
+#ct if ams
--    abusive head trauma most common cause of traumatic death in infants
+#consider ct if h/o loc, amnesia, sz, HA, vomiting, irritable, behavioral change
+#if mild sxs, no ct but observe at home
--    risk factors for abuse
+#lower threshold if young <1-2 yrs since skull fx more common and more risk for abuse
+#image if significant scalp findings
-* infant
+#consider abuse if no hx of trauma, delay in seeking care, changing story, repeated injuries, mismatch of hx with physical exam, wounds of diff stages of healing
-* lower status
+#call neurosurg if intracranial inj, skull fx depressed or widely diastatic
 ==See also==
 Peds: Head CT (Peds)
 ==Source==
 Adapted from Pani
 [[Category:Peds]]

← Older revision		Revision as of 21:29, 16 July 2011
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	==See also==		==See also==
	[[Head CT (Peds)]]		*[[Head CT (Peds)]]
			*[[Sexual Assault]]

	==Source==		==Source==

← Older revision		Revision as of 19:51, 16 July 2011
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	==See also==		==See also==
	~~Peds:~~ Head CT (Peds)		[[Head CT (Peds)]]

	==Source==		==Source==