Child Abuse And Its Mimics In Skin And Bone

Of all children reported to child protective services for suspected maltreatment in any form, the percentage of substantiated cases of actual physical abuse is quite small. There are a number of dermatological or radiologically demonstrable musculoskeletal lesions that have been, or could be mistaken for, intentional physical abuse by the inexperienced or untrained observer. Child Abuse and Its Mimics in Skin and Bone illustrates the classic manifestations of physical abuse by dermatological and radiological examination as a standard against which the mimickers of physical abuse can be compared. Beginning with a historical perspective on child abuse, the book explores manifestations of superficial and musculoskeletal trauma in children. It examines conditions often mistaken for child abuse, ranging from rubella to leukemia and bowing deformities to vitamin A intoxication, as well as a plethora of dermatological conditions that can mimic signs of physical abuse. Designed for a broad spectrum of individuals who may first encounter a possibly abused child, the book presents hundreds of photos—many in color—and examples collected by the authors over their years of experience in their respective fields. Where appropriate, the authors provide pertinent historical, physical, and laboratory information in support of the diagnosis. With the combined insight of top experts in forensic radiology and dermatology, this volume enables clinicians and others confronted with cases involving these conditions to avoid a rush to judgment that could wreak havoc in a family and quite possibly delay needed treatment for an actual medical condition.

A scientifically rigorous, multidisciplinary approach to Sudden Infant Death Syndrome, for practitioners, researchers and families alike.

The previous edition of this book was based on a simple but essential philosophy: provide a practical and up-to-date resource for the practicing surgeon detailing the specific needs and special considerations surrounding the surgical care of children. The second edition of Fundamentals of Pediatric Surgery stays true to the philosophy of the original with several significant enhancements. As well as encompassing the most up-to-date and practical clinical information for the experienced surgeon written in a straightforward narrative style, each chapter provides a rationale for the proposed approach based on the scientific evidence available in the literature and the author’s personal clinical experience, supplies a detailed algorithm or clinical protocol in a graphic format, initiates a discussion regarding unanswered questions and proposals for future studies, and includes a list of suggested readings. Chapters cover in great detail a broad range of pediatric general surgery topics, including disorders of all major organ systems of the abdomen and thorax, congenital anomalies presenting in the newborn period, and a variety of maladies germane to the growing field of fetal surgery. The authors also provide authoritative discussions of therapeutic methods and surgical techniques that range from the traditional to the modern, including time-honored open operations, contemporary minimally invasive interventions, and emerging technologies such as single-site and robotic surgery. Written by experts in the field, Fundamentals of Pediatric Surgery, Second Edition is a definitive source of readily available clinical information that residents, fellows or attending surgeons can use to take care of actual patients in real time.

In this book, the authors present current research in the study of child abuse indicators, psychological impact and prevention. Topics discussed in this compilation include the link between mistreatment and obesity in childhood; child maltreatment prevalence and consequences of victimisation; bone disease and fractures in early childhood and their relation to child abuse; managing the risk of child sexual abuse including prevention and intervention strategies; addressing childhood trauma in Malta; the role of child sexual abuse in the development of psychopathology and borderline personality disorder.

Highly acclaimed in its first edition and thoroughly revised and expanded in this second edition, this volume uses an interdisciplinary approach and covers trauma to each body region, pyschosocial considerations, normal variants, disease simulating abuse, congenital malformations, dating fractures, and much more. This edition contains a heavier emphasis on MRI, expanded discussion of differential diagnosis, expanded legal issues and the addition of recent scientific work relevant to diagnosing child abuse. * New to this edition: heavier emphasis on MRI, expanded discussion of differential diagnosis, and expanded legal issues * Chapters cover trauma to each body region, psychosocial considerations, normal variants, diseases simulating abuse, congenital malformations, dating fractures, and much more

This eye-opening monograph challenges professionals across disciplines to take a more thorough and focused approach to addressing child physical abuse at the practice and policy levels. Positing child physical abuse as a public health crisis (as opposed to a more vague “social” one), the authors use empirical findings and clinical insights to advocate for wide-scale reforms in screening, assessment, responses, treatment, and prevention. The book’s social/ecological perspective delves into root causes of physical maltreatment, analyzes the role of family and community risk and support factors, and notes forms of discomfort keeping many professionals from meeting the issue head-on. From there, chapters describe coordinated multidisciplinary efforts for intervention and prevention with the potential to avert all forms of child abuse. Included in the coverage: · Adverse childhood experiences (ACEs) · The non-verbal child: obtaining a history for caregiver(s) · Clinical perspectives on multidisciplinary collaboration Corporal punishment and risk for child physical abuse Intimate partner violence (IPV) and risk for child physical abuse Evolution of child maltreatment prevention Complementary dynamic prevention approach Child Physical Abuse sets out the scope of this ongoing crisis for a wide audience including healthcare providers, child advocates, clinical social workers, public health officials, mental health providers, legislative staff professionals, and members of the lay public, with clear guidelines for effective long-term solutions.

The investigation of sudden or unexplained death of children represents a unique medical and forensic area of study. Children have unique anatomic and functional characteristics that must be recognized and understood by the medical investigator. Further complicating this process is the fact that the anatomic structure, composition and function of various organs and organ systems in the pediatric population change throughout the developmental stages of childhood. The disease processes, reactions to trauma and risk factors for accidental death and homicide change from infancy through adolescence. Forensic Pathology of Infancy and Childhood provides an authoritative, comprehensive reference text devoted to the medicolegal investigation of sudden unexpected death in children. With contributions from internationally renowned experts, individual chapters focus on specific unique causes and organ systems with detailed accounts of the changes in fatal diseases, risk factors of causes of sudden death, and responses to fatal trauma that occur as a child grows from neonatal stage through infancy, toddlerhood, childhood and adolescence. This text is an essential reference resource for forensic pathologists, medical examiner offices, pediatric pathologists, pediatric hospitals, anatomic pathologists and those in training as well as those in related legal professions.