Download ABC of Child Protection by Sir Roy Meadow, Jacqueline Mok, Donna Rosenberg PDF

By Sir Roy Meadow, Jacqueline Mok, Donna Rosenberg

Baby abuse is unforgivable and this ebook pulls no punches in describing what it truly is and exhibiting the noticeable results. while you're fascinated by the care of different peoples young ones i will suggest it.

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Sample text

Coagulation studies and septic screen will exclude major bleeding disorders or infection. Liver function tests, serum amylase activity, urea and electrolyte concentrations, and abdominal ultrasonography may be useful if intra-abdominal injury is suspected. Urine should be sent for toxicology and metabolic screen. Ophthalmology When physical abuse is suspected, an ophthalmologist should carry out an indirect ophthalmoscopic examination as soon as possible. Retinal haemorrhages are present in about 80% of infants with subdural haemorrhage from non-accidental head injury (see chapter 7).

Otherwise, follow-up films in 10–14 days to look for healing are appropriate. Computed tomograms of the chest and neck are useful to identify pharyngeal, oesophageal, tracheal, and lung injuries. Endoscopy or contrast radiographs may be needed. A continuing collaboration between paediatric, surgical, and pathology teams is important to establish the timing of injury, especially for hollow viscus injury with delayed presentation. Often the surgeon has the initial suspicion that the injury might be inflicted.

Evidence of ongoing blood loss, resulting in cardiovascular instability, despite fluid support, warrants surgical exploration. Most children with blunt abdominal trauma may be managed expectantly with symptomatic support. Adjunctive antibiotics are indicated for peritonitis or perforation. Further reading Barnes PM, Norton CM, Dunstan FD, Kemp AM, Sibert JR. Abdominal injury due to child abuse. Lancet 2005;366:234–35. Cooper A, Floyd T, Barlow B, Niemirska M, Ludwig S, Seidl T, et al. Major blunt abdominal trauma due to child abuse.

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