L15, Child abuse, Forensic medicine

 Lecture Video


1- Age of battered children Sindrome is...
a. 5 years
 b. 3 years
 c. 2 years 
d. 6 years

2-Physician may Suspect the case of Childabuse from .....
a .delay Seeking medical attention.
b. un explained malnutrition
c. discrepancy between history & CliniCal finding 
d. all of above

 3. most common sites of physical lesions are....
a. skin & Abdomen
b. Skin& Skeleton
c. Skeleton &cns

4. most frequent site of skeletal injury is ......
a .Skull 

 5. Site of rib Fracture is .....
a.mid axillary
b. Near to sternum
c. Para vertebral 
d.mid clavicular

6. most Frequent Cause of death in Child abuse is..... 
a. Head in Juries
 b. Abdomen 
c. Burns
 d. Scalds

True or false
1. Acute injury as bruises found in one stage of Healing
2. Shaken baby Syndrome characterized by Subdural & Retinal hemorrhage
3- Rib fructures are common in child abuse 
4-Intestine & mesentory are less affected in child abuse 
5. Rupture of  Spleen is common in child abuse
1.C, 2.d, 3-b, 4.c,5.c,6.a
Tor F 
1 f, 2-T, 3-F,4.F,5. F
*How could physician suspect from history?
1- Caregivers may delay seeking medical attention for the child. 
2- A significant discrepancy between the history given by the 
caregivers and the clinical findings. 
3- Unexplained malnutrition. 
4- The explanation as to how the recent trauma occurred is vague, 
inconsistent, or contradictory
*List the duty of physician toward a case of child  
1- The physician has the duty to protect the child. 
2- Hospitalization to ensure the child's safety. 
3- Child protective services must be notified immediately
i. Head injuries: The most frequent cause of death in battered children. The most common 
findings are subdural and subarachnoid hemorrhages with or without fractures of the skull. 
ii. Injuries to the abdomen: 
- Visceral injuries are the next most frequent cause of death. 
- The intestine and mesentery: compression of the intestine and mesentery against the rigid 
lumbar spine can tear them, where damage to the duodenum or jejunum is regularly seen 
in battered child syndrome. 
- Liver: laceration of the liver. (the most vulnerable organ to trauma directed to the abdomen) 
- Spleen: rupture of the spleen. (relatively protected) 
i. Burns or scalds: may cause shock, dehydration or delayed infection