This edition of Pediatric Emergency Department is a brief synopsis of the TEN-4, FACES and PIBIS scores for the detection of physical child abuse.
Metaphyseal corner fractures in infants are very concerning for child abuse. Seeing one on X-Ray should always prompt a workup for non-accidental trauma.
The 5th article from the AAP SOEM NCE Top 10 of 2016 determined rates of abuse evaluation and diagnosis among children with sentinel injuries of non-accidental trauma
PEM Currents, the Pediatric Emergency Medicine podcasts brings you a discussion on the workup of a child with unexplained bruising.
This is not something that any of us wants to evaluate in the Emergency Department, but it is a necessary part of the job. First, look for suspicious or atypical bruises: A case control study of 95 PICU trauma patients under the age of 4 [...]
The case An infant presents with swelling of the ankle after being picked up from the babysitter. He has been able to pull to stand and cruise for a while now, but appears to be in pain when he attempts to bear weight after he [...]