9651734
Description
Flashcards by Averil Tam, updated more than 1 year ago
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Created by Averil Tam
over 6 years ago
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| Question | Answer |
| TRUE/FALSE? 1. Bruises around a baby’s mouth may be caused by a dummy (pacifier). | False: Use of dummies/pacifiers never causes a child to bruise around the mouth. Consider the possibility of forceful feeding (thrusting the bottle into an unwilling baby’s mouth). Always check the frenulum for tears, which is another pointer towards abuse related injury by the same mechanism. |
| TRUE/FALSE? 2. Bruises on the buttocks are common in babies that crawl. | False: Bruises on the buttocks or any other soft, padded body part are rarely due to accidental injury. Accidental injuries tend to cause bruising over bony prominences (forehead, chin, elbows, lower arms, hips, shin); where as bruises resulting from inflicted injuries may be seen over soft parts (face, ears, frenulum, neck, upper arms, anterior thighs, trunk, genitalia and buttocks). |
| TRUE/FALSE? 3. A bruise that is yellow is at least 18 hours old. | True: A bruise that is yellow is at least 18 hours old. However the converse is not true. So a bruise that’s not yellow may still be more than 18 hours old. |
| TRUE/FALSE? 4. Accidental bruises in non mobile (under 6 months) babies are rare. | True: Accidental bruises in non mobile (under 6 months old) babies are rare. |
| TRUE/FALSE? 5. The scab of a cigarette burn mark can be mistaken for impetigo. | True: Impetigo is a differential diagnosis for cigarette burn marks. The scab of a cigarette burn is usually hard to get off where as in impetigo it is generally friable. |
| TRUE/FALSE? 6. Posterior rib fractures are a common occurrence in childhood during the course of resuscitation. | False: Rib fractures do not occur after CPR on a flat surface – however, may occur if leverage of ribs has occurred. Are rarely if ever the result of minor accidental trauma in infants and children, because of the compliance and mobility of the chest. |
| TRUE/FALSE? 7. Is a low vitamin D responsible for bone fragility? | False: Simple vitamin D deficiency does not increase risk of fracture. |
| TRUE/FALSE? 8. Neglect of a child(physical, medical or emotional) is not categorised as being at “risk of significant harm”. | False: Suspect and evaluate for possible abuse or neglect in any child where there is an unexplained delay in seeking treatment for an illness or injury. |
| TRUE/FALSE? 9. History from a mother is always the best source of information about the child health. | False: If the child’s clinical picture over time does not fit with the history given by the carer, think of neglect or medical child abuse. |
| TRUE/FALSE? 10. Traumatic brain injury may not be associated with any external signs of physical abuse. | True: Babies who have been shaken may not have any external signs of abuse. |
| TRUE/FALSE? 11. Shaking alone is not sufficient to cause intracranial injury | False: Shaking a child may produce intracranial bleeding and deep intracerebral injuries such as diffuse axonal injuries or cortical tears. |
| TRUE/FALSE? 12. CT scan of the head and brain MRI can accurately date the intracranial haemorrhage such as subdural haematoma. | False: Neuroimaging is imprecise in dating subdural haematomas. The time of a change of infant behaviour appears to be the best clue in dating the injury. |
| TRUE/FALSE? 13. Abdominal internal organ trauma due to abuse is often associated with external bruising on the abdomen. | False: Blunt trauma to the abdomen is often not associated with any external mark or bruise. |
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