How Clinicians Spot Physical Abuse In Children

A clinician suspects it first when the injuries are not consistent with what the parent or child says

15 Dec, 2022

Kashish Sharma

The Muted Ones

Children are often not able to report abuse due to existing stigma and lack of awareness. Sometimes they don’t know whom to reach out to for help.

Source: Thehealthsite

Loved ones do it to them

Childhood physical abuse is far more widespread than is reported. Fathers, mothers and other caretakers are very often the perpetrators.

Source: Thehealthsite

Suspected in a routine checkup

A paediatrician in many cases is first in the line to notice that something might not be right with the child. Suspicion might first be raised in a routine checkup.

Source: Thehealthsite

Injuries of all kinds

Injuries caused by physical abuse to a child can range from mild skin bruises to serious head and abdominal trauma.

Source: Thehealthsite

Repetitive

Physicians often see a pattern in these injuries inflicted upon the child. They find it to be repetitive and getting worse with time.

Source: Thehealthsite

False explanation

The caretaker might not be able to explain the cause of the injury and even if they do, the narration might not match the symptoms

Source: Thehealthsite

Missed out on an acute injury?

The caretaker might say things like the injury might have gone unnoticed or they didn’t see. The clinician however might spot an injury that is too acute to be missed.

Source: Thehealthsite

Cold caretakers

The parent might not be expressing empathy towards the child’s condition or the strained connection becomes very obvious.

Source: Thehealthsite

Child is too clumsy?

Caretakers might say things like their child is always clumsy or cannot climb properly on stairs or has frequent falls.

Source: Thehealthsite

Late to inform

There might be a significant time gap between the time child got injured and the time they were presented to the doctor.

Source: Thehealthsite

Unexplained fractures or burns

The child might show contact burns on the skin or bruises that follow a pattern or unexplained fractures

Source: Thehealthsite

Dropped the baby accidentally?

Sometimes when a baby might have been shaken, the caretaker would say that they accidentally dropped the child, and it stopped breathing and turned blue.

Source: Thehealthsite

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