Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.


Child Physical Abuse

Randolph Cordle, MD

  • Always make sure children are in a gown so you can see all parts of the child easily.
  • Always be alert for inconsistencies and injury patterns.  Recurrent trauma, developmentally inappropriate stories, inappropriate transference, symmetrical injuries/burns, and delays in seeking care should move child abuse higher in your differential.
  • Make sure to document your suspicion or lack of suspicion for abuse in all fractures in young children and other appropriate cases. 
  • Look at the fundi in all young children with unusual behavior or neuro findings.


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