| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
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The problem is, these healed fractures
are also consistent with child abuse.
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Other than a major fall, auto
accident or the like, an otherwise healthy kid doesn't break a bone.
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Yes, toddlers and young children
fall all the time.
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They have extremity bruises.
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Facial and truncal
injuries should raise suspicions.
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Rib fractures are are
frequently a sign of abuse.
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Even healed fractures,
such as these, need an explanation.
Perhaps we could tactfully
ask the aunt?
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