Term
| What is the most common cause of death in abused pediatric patients? |
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Definition
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Term
| When is the potential for an infant to endure abusive head trauma most likely? |
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Definition
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Term
| Abusive head trauma accounts for what percentage of all childhood causes of death? |
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Definition
| 5% (80% of head trauma in children under 2 is fatal) |
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Term
| A hemorrhagic retina is most suggestive of what abusive incident? |
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Definition
| shaken baby syndrome (pathognomonic for abusive head trauma) |
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Term
| What might a PT and a PTT be conducted on a patient with a retinal hemorrhage or bruising? |
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Definition
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Term
| Aside from child abuse, what other conditions should be considered when there is apparant intracranial hemorrhage? |
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Definition
| seizure disorder, hypoglycemia, sepsis, AV malformation, tumor, metabolic insult |
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Term
| Why did Dr. Ahmand mention the following two orders be given when treating a pediatric patient with an intracranial bleed: maintain ventilation at pCO2 of 35-40 mm Hg and elevate head to 30 degrees? |
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Definition
| Make sure you to keep pCO2 in range that will not cause excessive vasodilation, elevated head helps prevent intracranial pressure from building up |
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Term
| When presented with a pediatric patient with several bruises how should the history be geared? |
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Definition
| by making sure to questions the origin and history of each bruise |
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Term
| What was Dr. Ahmands for when children bruise from accidents? |
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Definition
| If children can't cruise (walk) they don't bruise. |
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Term
| Dr. Ahmand discussed three "bruises" which may mimic child abuse. What are they? |
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Definition
| birthmarks, bruises secondary to coagulopathis, fold remedies (cupping) |
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Term
| A bite mark with a central area of erythema suggests what? |
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Definition
| Suction was applied to bite, unusual if an accidental or protective bite |
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Term
| How can an accidental cigarette suffered by a child be differentiated from a purposeful cigarette burn? |
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Definition
| an accidental cigarette burn will not have a drastically distinct margin. |
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Term
| What aspect of the oralpharynx should always be examine in children suspected of abuse? |
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Definition
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Term
| When/what-type of fractures did Dr. Ahmand state should be cause for suspicion of child abuse? |
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Definition
| metaphyseal chip, rib fractures, multiple fractures in different stages of healing, long bone fractures in non-ambulatory children |
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Term
| With a rib fracture how should the radiograph be assessed? |
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Definition
| Can the rib fracture concievably have been caused by the parent's dominate hand? |
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Term
| Aside from child abuse what other diagnosis should be exclude in the case of frequent reportings of fractures? |
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Definition
| osteogenesis imperfecta, hypophosphatasia, Rickets, leukemia, primary metastatic bone tumor |
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Term
| What aspect of the history is most important in the case of suspected child abuse? |
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Definition
| history provided by the child (avoid yes/no questions) |
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Term
| What other conditions must first be excluded in a female pediatric patient suspected of child abuse who presents with vaginal bleeding? |
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Definition
| straddke/accidental injury, infection, UTI, foreign body, tumor, precocious puberty (vaginal bleeding requires extensive examination be conducted under sedation?) |
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