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CASE 4 : HTMS ATLAS OF PEDIATRICS.

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HOME TOWN MEDICAL SERIES  ATLAS OF PEDIATRICS Dr Furqan Ali Khan HTMS Atlas of Pediatrics By Dr Furqan Ali Khan.  Please do comment for making this atlas better. Chapter 1.                           Recognition of child Abuse and Neglect: a.        What is the diagnosis? Explain this diagnosis? ANSWER: Key: a. Non- accidental bruising. b. The non- walking child is not prone to self-inflicted injury except scratching.      The child is not strong enough to cause bruising and falls from the sitting position are less likely to          cause damage than those from the standing position.      The site of bruising, infront of the ear is common, as the skin is easily crushed against the       underlying bone.     The br...
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Case 3: Recognition of child Abuse and Neglect

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HOME TOWN MEDICAL SERIES  ATLAS OF PEDIATRICS Dr Furqan Ali Khan HTMS Atlas of Pediatrics By Dr Furqan Ali Khan.  Please do comment for making this atlas better. Chapter 1.  Recognition of child Abuse and Neglect: CASE 3:  a.        What is the diagnosis? b.       Explain this diagnosis? c.        What we can see on both cheeks of child? Key: a.        Non-accidental bruising. b.       The face is frequently bruised. The toddler judges the height of objects poorly and uses the forehead as a testing device. Objects at the level of the eyes are normally avoided. Bruising on the lower face is less common. Conversely the face is picked out as the target in childhood battles. Parental displeasure may be displayed as violence, and slaps across the face may be harder than in...
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HTMS: Case 2 : Bruises and Assaults .

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HOME TOWN MEDICAL SERIES  ATLAS OF PEDIATRICS Dr Furqan Ali Khan HTMS Atlas of Pediatrics By Dr Furqan Ali Khan.  Please do comment for making this atlas better. Chapter 1.  Recognition of child Abuse and Neglect: CASE 2:  a.        What is the diagnosis? b.       Explain this diagnosis? c.        The family method of correction may be spanking using the hand, slipper or belt. If this leaves bruising, is it excessive or acceptable? Key: a.        Normal bruises. b.       Mobile children are constantly acquiring bruises. These may result from collisions, peer battles, falls from bikes; the possibilities are endless. Normal bruising, therefore, tends to occur over bony, vulnerable surfaces such as the forehead, shins and back, or in childhood battles, the face. A physically ac...
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Chapter 1: Recognition of child Abuse and Neglect (Case 1).

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HOME TOWN MEDICAL SERIES  ATLAS OF PEDIATRICS Dr Furqan Ali Khan HTMS Atlas of Pediatrics By Dr Furqan Ali Khan.  Please do comment for making this atlas better. Chapter 1.  Recognition of child Abuse and Neglect: Case 1:              What is the diagnosis? b.        Explain this diagnosis? Key: a.        Frozen Awareness. b.       The child only sees his parents to be assaulted, come to view all adults with suspicion. There is no spontaneous smile or reaction when he see an adult, indeed, he may withdraw into a corner and start screaming in anticipation of the pain. Eventually, this reaction is controlled and the child remains expressionless, but alert and watchful. This child shows such an expression. His eyes are alert and he has fixed on an object, but his face remains totally dead- pa...
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