Child Abuse

[Lorenzo]

There are two forms of child abuse:

1) Physical abuse and

2) Sexual abuse

[Lorenzo]

Physical abuse


Evidence: healed fractures on x-ray, cigarette burns, subdural hematomas, multiple bruises, retinal hemorrhage, or detachment

Abuser: Usually female and the primary caregiver

Epidemiology: ~ 3,000 deaths/ year in the United States

[Lorenzo]

Sexual abuse


Evidence: Genital/ anal trauma, STDs, recurrent UTI (urinary tract infection)

Abuser: Known to victim, usually male

Epidemiology: Peak incidence 9 - 12 years of age

[Lorenzo]

The retinal hemorrhage as a result of Shaking Baby Syndrome:

[Lorenzo]

June, a grandmother, raising her granddaughter who is a victim of shaken baby syndrome.