HTMS: Case 2 : Bruises and Assaults .

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 ATLAS OF PEDIATRICS

Dr Furqan Ali Khan

HTMS Atlas of Pediatrics By Dr Furqan Ali Khan. 

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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 active or aggressive child may sport multiple bruises of different ages which can be features of non-accidental injury.

a.       It is obvious, therefore that to use bruising as the main criterion for deciding whether a child should stay with the family or not, is fraught with hazards.

Copyright reserved: Dr Furqan Ali Khan.