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Dermatology
Skin Signs of Abuse
Built from Dermatology, 5th Edition
What’s inside
13 sections · 63 slides
Overview
- What this topic covers
Child Abuse: Overview and Epidemiology
Definitions, history, and how common the problem is
- Defining child abuse
- History of recognizing child abuse
- How common is child abuse
- Who is at risk: family and perpetrator factors
Physical Abuse: Recognizing Injury Patterns
Bruises, binding, burns, and bites - what each pattern tells the examiner
- Bruises: location and shape as clues
- Bruising and petechiae from a hand slap and belt buckle
- Buckle marks and pinch marks
- Blunt trauma
- Healing binding injury of the ankles
- Traumatic alopecia and bite marks
- Thermal burns: overview
- Cigarette burns
- Branding injury from a heated object
- Dunking (immersion) scald burns
- Dunking scald burn with a stocking distribution
- Dunking scald burn with sharp demarcation on the arm
- Multiple injuries and Munchausen syndrome by proxy
Physical Neglect and Emotional Deprivation
What's missing, not what's inflicted
- Physical neglect
- Emotional deprivation and failure to thrive
Sexual Abuse
How it's diagnosed, and how fast physical evidence disappears
- How the diagnosis is made
- Why physical evidence fades fast
- Physical findings suggestive of abuse
- Physical findings suggestive of child sexual abuse.
- Normal anatomic variants
- Lab evidence of sexual contact
- Anogenital warts: a special case
Human Trafficking
Sex trafficking of minors, and a recognizable warning sign
- Sex trafficking of minors
- Tattoos as a warning sign
Conditions That Mimic Abuse
Harmless or unrelated findings that can be mistaken for abuse
- Distinguishing abuse from accidental injury
- Everyday conditions that can look like abuse
- Conditions that can mimic child abuse.
- Conditions that can mimic child abuse. (continued)
- Conditions that can mimic child abuse. (continued)
- Chemical burn mimicking a non-accidental injury
- Conditions misdiagnosed as sexual abuse
- Conditions occasionally misdiagnosed as child sexual abuse.
Evaluation and Management of Suspected Child Abuse
From suspicion, to exam, to reporting
- When to suspect abuse
- Steps in evaluation and management
- Evaluation and management of suspected child abuse.
- When to report immediately
- Testing for infection and forensic evidence
- Long-term impact and the physician's role
Elder Abuse: Definition and Epidemiology
What counts as elder abuse, and how common it is
- Defining elder abuse
- Five recognized types of elder abuse
- Types of elder abuse.
Risk Factors and Clinical Assessment
Who is at risk, and how to look for elder abuse
- Who is at risk
- How assessment works
- Potential findings in elder abuse or neglect.
- Potential findings in elder abuse or neglect. (continued)
- Elder self-neglect
- How to interview a suspected victim
Management of Elder Abuse
A team-based response, matched to the context of the abuse
- A team-based approach
- Interventions for elder abuse.
- Interventions for elder abuse. (continued)
- Reporting duties and the dermatologist's role
Summary
Pulling the skin signs of abuse together
- Key takeaways
References
Source citations from the chapter
- References
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- Dermatology, 5th Edition (2-Volume Set)