DOI QR코드

DOI QR Code

Child abuse, can we find child abuse? - Role of the pediatrician

아동학대, 찾아낼 수 있는가 - 소아청소년과 의사의 역할

  • Min, Ki Sik (Department of Pediatrics, College of Medicine, Hallym University)
  • 민기식 (한림대학교 의과대학 소아과학교실)
  • Received : 2009.09.08
  • Accepted : 2009.10.26
  • Published : 2009.11.15

Abstract

Child abuse is defined by a recent act or failure to act that results in death, serious physical or emotional harm, sexual abuse or exploitation, or imminent risk of serious harm; involved a child; and is carried out by a parent or caregiver. This report provides guidance in the clinical approach to the evaluation of suspected physical abuse in children, and role of pediatrician. The medical assessment is outlined with obtaining a medical history, physical examination, and diagnostic testing. A minor form of child abuse which only involves skin injury is most frequently seen by a pediatrician. This kind of child abuse can be followed by more severe forms of child abuse, which have high mortality rates and cause serious physical and mental sequelae to the survivor. Therefore, a pediatrician's role in an early detection and prevention of child abuse is very important.

Keywords

References

  1. Kliegman RM, Jenson HB, Behrman RE, Stanton BF. Nelson textbook of pediatrics. 18th ed. Saunders Co, 2007:171-8
  2. McDonald KC.Child abuse: approach and management. Am Fam Physician 2007;75:221-8
  3. Hudson M, Kaplan R. Clinical response to child abuse. Pediatr Clin North Am 2006;53:27-39 https://doi.org/10.1016/j.pcl.2005.09.006
  4. Rumm PD, Cummings P, Krauss MR, Bell MA, Rivara FP. Identified spouse abuse as a risk factor for child abuse. Child Abuse Negl 2000;24:1375-81 https://doi.org/10.1016/S0145-2134(00)00192-7
  5. Ricci L, Giantris A, Merriam P, Hodge S, Doyle T. Abusive head trauma in Maine infants: medical, child protective, and law enforcement analysis. Child Abuse Negl 2003;27:271-83 https://doi.org/10.1016/S0145-2134(03)00006-1
  6. Skellern CY, Wood DO, Murphy A, Crawford M. Nonaccidental fractures in infants: risk of further abuse. J Paediatr Child Health 2000;36:590-2 https://doi.org/10.1046/j.1440-1754.2000.00592.x
  7. Kellogg ND. Evaluation of suspected child physical abuse. Pediatrics 2007;119:1232-41 https://doi.org/10.1542/peds.2007-0883
  8. Kellogg ND, Lukefahr JL. Criminally prosecuted cases of child starvation. Pediatrics 2005;116:1309-16 https://doi.org/10.1542/peds.2004-2616
  9. Maguire S, Mann MK, Sibert J, Kemp A. Can you age bruises accurately in children? A systemic review. Arch Dis Child 2005;90:187-9 https://doi.org/10.1136/adc.2003.044073
  10. When inflicted skin injuries constitute child abuse. Pediatrics 2002;110:644-5 https://doi.org/10.1542/peds.110.3.644
  11. Cho OY, Huh KH, Cho DJ, Kim DH, Min KS, Yoo KY. Five cases of Shaken Baby Syndrome. Korea J Pediatr 2003; 46:404-8
  12. Choi YJ, Kim SM, Sim EJ, Cho DJ, Kim DH, Min KS, et al. A clinical study of child abuse. Korea J Pediatr 2007; 50:436-42 https://doi.org/10.3345/kjp.2007.50.5.436
  13. Wood J, Rubin DM, Nance ML, Christian CW. Distinguishing inflicted versus accidental abdominal injuries in young children. J Trauma 2005;59:1203-8
  14. Wagner GN. Crime scene investigation in child abuse cases. Am J forensic Med Pathol 1986;7:94-9 https://doi.org/10.1097/00000433-198607020-00002
  15. Schwengel D, Ludwig S. Rhabdomyolysis and myoglobinuria as manifestations of child abuse. Pediatr Emerg Care 1985;1: 194-7 https://doi.org/10.1097/00006565-198512000-00006
  16. Diagnostic imaging of child abuse. Pediatrics 2009;123:1430- 5 https://doi.org/10.1542/peds.2009-0558