Chapter 1 Introduction To Child Maltreatment |
|
1 | (10) |
|
|
1 | (1) |
|
|
2 | (1) |
|
|
3 | (1) |
|
|
4 | (1) |
|
Adverse Childhood Experiences (ACES): Outcomes |
|
|
4 | (1) |
|
Guidelines for Assessment |
|
|
5 | (1) |
|
|
5 | (1) |
|
|
6 | (1) |
|
Child Abuse Prevention and Treatment Act |
|
|
6 | (1) |
|
Trafficking Victims Protection Act |
|
|
6 | (1) |
|
|
7 | (1) |
|
|
7 | (4) |
Chapter 2 Radiology |
|
11 | (26) |
|
|
11 | (1) |
|
Manifestations of Child Abuse |
|
|
12 | (22) |
|
|
12 | (7) |
|
Musculoskeletal Child Abuse Mimics |
|
|
19 | (4) |
|
|
23 | (5) |
|
|
28 | (5) |
|
|
33 | (1) |
|
|
34 | (3) |
Chapter 3 Head Trauma |
|
37 | (28) |
|
Mechanisms of Injury (Table 3-1) |
|
|
37 | (1) |
|
|
38 | (6) |
|
External Craniofacial Injury |
|
|
38 | (3) |
|
|
41 | (2) |
|
|
43 | (1) |
|
Rotational Head Injury and Abusive Head Trauma |
|
|
44 | (9) |
|
|
44 | (1) |
|
|
44 | (1) |
|
|
45 | (1) |
|
|
46 | (1) |
|
Diagnosis of Brain Injury |
|
|
46 | (1) |
|
|
47 | (1) |
|
Associated Injuries in Abusive Head Trauma |
|
|
48 | (1) |
|
|
48 | (4) |
|
|
48 | (1) |
|
|
49 | (1) |
|
Primary Versus Secondary Injuries |
|
|
50 | (2) |
|
|
52 | (1) |
|
|
52 | (1) |
|
|
53 | (3) |
|
|
53 | (2) |
|
|
55 | (1) |
|
|
56 | (1) |
|
|
56 | (1) |
|
|
56 | (1) |
|
|
57 | (8) |
Chapter 4 Nonfatal Strangulation In Children |
|
65 | (14) |
|
|
65 | (1) |
|
Challenges in Evaluating Pediatric Strangulation Cases |
|
|
65 | (1) |
|
Pediatric Anatomy of the Head and Neck |
|
|
66 | (2) |
|
|
66 | (2) |
|
|
68 | (1) |
|
|
68 | (2) |
|
|
70 | (2) |
|
|
70 | (1) |
|
|
71 | (1) |
|
|
71 | (1) |
|
|
72 | (1) |
|
Recommendations for Health Care Providers and First Responders |
|
|
72 | (4) |
|
|
72 | (1) |
|
|
73 | (1) |
|
|
73 | (1) |
|
|
74 | (1) |
|
|
75 | (1) |
|
|
75 | (1) |
|
|
76 | (1) |
|
|
76 | (1) |
|
|
77 | (2) |
Chapter 5 Bruises And Burns |
|
79 | (42) |
|
|
79 | (3) |
|
|
82 | (1) |
|
|
82 | (10) |
|
Common Tests for Children With Bruising |
|
|
84 | (1) |
|
|
85 | (1) |
|
Conditions That Mimic Abuse |
|
|
86 | (6) |
|
Assessment of Children Who Suffer Bruising or Burning |
|
|
92 | (8) |
|
|
92 | (1) |
|
|
93 | (6) |
|
|
99 | (1) |
|
|
100 | (1) |
|
|
100 | (1) |
|
|
100 | (12) |
|
|
104 | (3) |
|
Contact Burns: Intentional Non-scald Burns (INSB) |
|
|
107 | (2) |
|
|
109 | (1) |
|
Nonabusive Mimics and Burns |
|
|
110 | (1) |
|
Differential Diagnosis for the Health Care Provider |
|
|
111 | (1) |
|
|
111 | (1) |
|
Physical Examination of Burns |
|
|
112 | (1) |
|
|
112 | (9) |
Chapter 6 Ophthalmic Manifestations And Oral Injuries |
|
121 | (16) |
|
Ophthalmic Manifestations |
|
|
121 | (8) |
|
Eyelids and Periorbital Area |
|
|
123 | (1) |
|
|
124 | (1) |
|
Cornea, Anterior Chamber, and Lens |
|
|
125 | (1) |
|
|
126 | (1) |
|
Retinal Signs of Abusive Head Trauma |
|
|
126 | (3) |
|
Oral Injuries in Child Abuse |
|
|
129 | (4) |
|
|
129 | (1) |
|
|
129 | (1) |
|
Injuries to Supporting Structures |
|
|
130 | (1) |
|
|
130 | (1) |
|
|
130 | (1) |
|
|
131 | (1) |
|
|
131 | (1) |
|
Bite Marks/Pattern Injuries |
|
|
131 | (2) |
|
|
133 | (1) |
|
|
133 | (4) |
Chapter 7 Thoracoabdominal Injuries |
|
137 | (14) |
|
|
137 | (5) |
|
|
137 | (2) |
|
|
139 | (3) |
|
|
142 | (4) |
|
|
142 | (1) |
|
|
142 | (10) |
|
|
143 | (1) |
|
Diagnostic Imaging of Thoracic Injuries |
|
|
143 | (1) |
|
Diagnostic Imaging of Abdominal Injuries |
|
|
144 | (2) |
|
|
146 | (5) |
Chapter 8 The Chemically Abused Child (Poisoning) |
|
151 | (18) |
|
|
151 | (1) |
|
|
152 | (1) |
|
Intentional Abusive Poisoning |
|
|
152 | (5) |
|
Caregiver Psychopathology |
|
|
153 | (2) |
|
Facilitation of Sexual Assault or Abuse |
|
|
155 | (1) |
|
|
156 | (1) |
|
|
156 | (1) |
|
|
157 | (1) |
|
Association With Physical Abuse |
|
|
157 | (1) |
|
Unintentional Nonabusive Poisoning |
|
|
157 | (2) |
|
Dealing With Neglect and Endangerment |
|
|
159 | (3) |
|
|
159 | (2) |
|
|
161 | (1) |
|
|
162 | (4) |
|
History of Present Illness |
|
|
162 | (3) |
|
Clinical Laboratory Tests |
|
|
165 | (1) |
|
|
166 | (1) |
|
|
166 | (3) |
Chapter 9 Neglect, Abandonment, And Failure To Thrive |
|
169 | (34) |
|
|
169 | (4) |
|
|
173 | (1) |
|
|
174 | (1) |
|
Evaluation of Neglect in the Health Care Setting |
|
|
175 | (1) |
|
|
175 | (1) |
|
|
176 | (1) |
|
Role of the Health Care Provider |
|
|
176 | (1) |
|
|
176 | (19) |
|
|
176 | (2) |
|
|
178 | (14) |
|
|
179 | (1) |
|
|
179 | (11) |
|
|
190 | (2) |
|
|
192 | (1) |
|
|
193 | (1) |
|
|
194 | (1) |
|
Neglect and Child Sex Trafficking |
|
|
195 | (1) |
|
Interventions and Outcomes |
|
|
195 | (3) |
|
|
198 | (5) |
Chapter 10 Sexual Abuse |
|
203 | (52) |
|
|
205 | (6) |
|
Risk Factors for Perpetration |
|
|
205 | (1) |
|
|
205 | (1) |
|
|
206 | (1) |
|
Role of the Health Care Provider |
|
|
206 | (3) |
|
|
206 | (1) |
|
|
206 | (3) |
|
Impact of Sexual Abuse and Treatment |
|
|
209 | (1) |
|
Legal and Reporting Issues |
|
|
209 | (1) |
|
|
210 | (1) |
|
|
210 | (1) |
|
|
211 | (1) |
|
|
211 | (13) |
|
|
212 | (2) |
|
Indications for and Timing of a Physical Examination |
|
|
214 | (2) |
|
Preparing the Child for the Physical Examination |
|
|
216 | (1) |
|
Examination Positions and Techniques for Female Children |
|
|
217 | (7) |
|
|
217 | (3) |
|
Older Girls and Adolescents |
|
|
220 | (2) |
|
Examination Positions and Techniques for Male Children |
|
|
222 | (2) |
|
Review of Genital and Anal Anatomy |
|
|
224 | (16) |
|
|
224 | (1) |
|
|
224 | (1) |
|
|
225 | (1) |
|
|
226 | (9) |
|
|
235 | (1) |
|
|
235 | (4) |
|
Interpreting Residual Effects From Sexual Contact |
|
|
239 | (1) |
|
Examining and Interpreting Anal Findings in Male and Female Victims |
|
|
239 | (1) |
|
|
240 | (2) |
|
|
240 | (2) |
|
|
242 | (1) |
|
|
242 | (1) |
|
|
242 | (2) |
|
|
243 | (1) |
|
|
243 | (1) |
|
Sodomy and Genital-to-Anal Contact Without Penetration |
|
|
244 | (1) |
|
Interpretation of Healed and Healing Injuries |
|
|
244 | (1) |
|
Sexually Transmitted Diseases |
|
|
245 | (1) |
|
|
245 | (1) |
|
Medical Conditions That Mimic Child Sexual Abuse |
|
|
245 | (1) |
|
The Forensic Medical Record |
|
|
246 | (1) |
|
|
247 | (1) |
|
|
247 | (8) |
Chapter 11 The Sexual Abuse Interview |
|
255 | (24) |
|
|
255 | (2) |
|
Issues Related to Interviewing Children |
|
|
257 | (1) |
|
|
258 | (2) |
|
|
260 | (1) |
|
Developmental Considerations |
|
|
261 | (3) |
|
Patient Emotional and Comfort Issues |
|
|
264 | (1) |
|
|
265 | (1) |
|
Incorporating Interviewing Skills Into the Medical Forensic Examination |
|
|
265 | (8) |
|
Introduction and Building Rapport |
|
|
266 | (1) |
|
Collecting Substantive Information |
|
|
267 | (1) |
|
|
267 | (5) |
|
|
272 | (1) |
|
|
273 | (1) |
|
Sexual Abuse Interviewing and Child Sex Trafficking |
|
|
274 | (2) |
|
|
275 | (1) |
|
|
275 | (1) |
|
|
276 | (3) |
Chapter 12 Sexually Transmitted Diseases |
|
279 | (44) |
|
|
279 | (7) |
|
|
286 | (14) |
|
|
286 | (2) |
|
|
286 | (2) |
|
|
288 | (1) |
|
|
288 | (1) |
|
|
288 | (3) |
|
|
289 | (2) |
|
|
291 | (1) |
|
|
291 | (1) |
|
|
291 | (4) |
|
|
291 | (2) |
|
|
293 | (1) |
|
|
294 | (1) |
|
|
295 | (1) |
|
Clinical Presentation and Laboratory Diagnosis |
|
|
295 | (1) |
|
|
296 | (1) |
|
|
296 | (2) |
|
|
296 | (1) |
|
|
297 | (1) |
|
|
297 | (1) |
|
|
298 | (1) |
|
Other Uncommon Bacterial Sexually Transmitted Diseases |
|
|
298 | (2) |
|
Viral Sexually Transmitted Diseases |
|
|
300 | (16) |
|
Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome |
|
|
300 | (5) |
|
|
300 | (4) |
|
|
304 | (1) |
|
|
305 | (3) |
|
|
306 | (1) |
|
|
307 | (1) |
|
|
308 | (1) |
|
|
308 | (4) |
|
|
310 | (2) |
|
|
312 | (1) |
|
|
312 | (4) |
|
Miscellaneous STDs and Other Conditions |
|
|
316 | (3) |
|
|
319 | (4) |
Chapter 13 Pregnancy |
|
323 | (14) |
|
Abuse, Assault, and Adolescent Pregnancy |
|
|
324 | (1) |
|
|
325 | (1) |
|
Pregnant Adolescents With a History of Child Abuse |
|
|
326 | (2) |
|
Injury and Clinical Manifestations of Abuse in the Pregnant Adolescent |
|
|
326 | (2) |
|
Pregnancy as a Window of Opportunity for Intervention |
|
|
328 | (1) |
|
Clinician Response to Pregnancy Resulting From Abuse or Assault |
|
|
328 | (2) |
|
Role of Pediatricians in Preventing Both Child Abuse and Domestic Violence |
|
|
330 | (1) |
|
Prophylaxis and Treatment of STIs in Pregnancy |
|
|
330 | (1) |
|
|
331 | (1) |
|
Additional Reading/Resources |
|
|
332 | (5) |
Chapter 14 Medical Child Abuse/Munchausen Syndrome By Proxy |
|
337 | (10) |
|
Characteristics of the Child Victim |
|
|
338 | (1) |
|
Symptoms and Warning Signs of MCA |
|
|
338 | (3) |
|
Investigation and Diagnostic Studies in Case of Warning Signs |
|
|
338 | (3) |
|
|
341 | (1) |
|
The Nonperpetrating Spouse |
|
|
342 | (1) |
|
Approach to the Diagnosis of Medical Child Abuse |
|
|
342 | (1) |
|
|
343 | (1) |
|
|
343 | (4) |
Chapter 15 Role Of Law Enforcement |
|
347 | (16) |
|
|
347 | (2) |
|
Specific Responsibilities of Law Enforcement |
|
|
347 | (2) |
|
Recommendations for Improved Law Enforcement Response |
|
|
349 | (1) |
|
Preliminary Investigative Actions |
|
|
349 | (4) |
|
Child Protective Services |
|
|
349 | (3) |
|
Multidisciplinary Teams (MDTs) |
|
|
352 | (2) |
|
|
353 | (1) |
|
Dealing With Conflict Constructively |
|
|
353 | (1) |
|
|
353 | (1) |
|
|
354 | (3) |
|
|
356 | (1) |
|
|
356 | (1) |
|
Interrogation of the Suspected Perpetrator |
|
|
356 | (1) |
|
Special Investigative Techniques |
|
|
357 | (1) |
|
|
357 | (3) |
|
|
359 | (1) |
|
|
359 | (1) |
|
Child Death Investigations |
|
|
360 | (1) |
|
|
361 | (1) |
|
|
361 | (2) |
Chapter 16 Interdisciplinary Death Investigation |
|
363 | (14) |
|
|
365 | (1) |
|
|
366 | (1) |
|
Recognizing the Mechanism of Death |
|
|
366 | (1) |
|
|
366 | (1) |
|
Medicolegal Evaluation of Death |
|
|
367 | (7) |
|
|
367 | (3) |
|
|
367 | (2) |
|
|
369 | (1) |
|
|
370 | (1) |
|
|
370 | (3) |
|
Interpretation of Injuries |
|
|
370 | (2) |
|
Conditions That Are Not Abuse |
|
|
372 | (1) |
|
Organ and Tissue Transplantation Issues |
|
|
373 | (1) |
|
|
374 | (1) |
|
|
374 | (3) |
Chapter 17 DNA And Evidence Collection |
|
377 | (20) |
|
|
377 | (4) |
|
|
377 | (3) |
|
Short Tandem Repeats (STRs) |
|
|
377 | (1) |
|
Polymerase Chain Reaction (PCR) Analysis |
|
|
378 | (2) |
|
Convicted Offender Databases |
|
|
380 | (1) |
|
|
381 | (1) |
|
Collecting Evidence in Sexual Assault Cases |
|
|
381 | (4) |
|
|
382 | (3) |
|
Specifics With Respect to the Child Victim |
|
|
385 | (1) |
|
Use of DNA Evidence as a Prosecutorial Tool |
|
|
385 | (5) |
|
Specimens for Seminal Products |
|
|
387 | (2) |
|
|
389 | (1) |
|
|
389 | (1) |
|
|
389 | (1) |
|
|
390 | (1) |
|
|
390 | (1) |
|
Proper Transportation and Storage of DNA Evidence |
|
|
390 | (1) |
|
|
391 | (2) |
|
|
391 | (2) |
|
|
391 | (1) |
|
|
392 | (1) |
|
Prostate-Specific Antigen (PSA, p30, KLK3) and Seminal Vesicle-Specific Antigen Semenogelin (Sg, SVSA, SEMG1 or 2) |
|
|
392 | (1) |
|
|
393 | (1) |
|
|
393 | (1) |
|
|
393 | (1) |
|
Other Investigational Tools |
|
|
394 | (1) |
|
|
394 | (3) |
Chapter 18 Prevention |
|
397 | (28) |
|
|
397 | (1) |
|
|
397 | (1) |
|
Etiology of Child Abuse and Neglect: Risk and Protective Factors |
|
|
398 | (3) |
|
|
399 | (1) |
|
Family and Community Context |
|
|
400 | (1) |
|
|
400 | (1) |
|
|
401 | (2) |
|
Introducing Sensitive Questions |
|
|
402 | (1) |
|
Gathering the Information |
|
|
402 | (1) |
|
|
403 | (1) |
|
|
403 | (1) |
|
|
404 | (1) |
|
|
405 | (1) |
|
Appendix 18-1: Seeking a Safe Environment for Every Child Screening Questions |
|
|
406 | (2) |
|
Appendix 18-2: Screening Questions for Pediatrician Assessment |
|
|
408 | (10) |
|
|
418 | (7) |
Index |
|
425 | |