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Is It Child Abuse?

Is It Child Abuse?

Rib fractures suggest abuse and are a lone finding in 29% of skeletal injury cases.

Rib fractures suggest abuse and are a lone finding in 29% of pediatric skeletal injury cases.

This child's mother was worried that these lesions were sexually transmitted. What's your suspicion?

The mother of this 4-year-old girl was concerned that these lesions were sexually transmitted. The physician recognized them as molluscum, but was uncertain of the potential relationship of this rash to child abuse.

The ophthalmologist was not able to rule abuse in or out based on his examination because of the number of retinal hemorrhages seen.

This is a case of non-abuse: the foreign body was an attempt at self-stimulation.

Blisters are relatively common in a busy office or pediatric ED.Child abuse should be included in the differential diagnosis of blisters, along with immersion burn, blistering distal dactylitis, and epidermolysis bullosa simplex.

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