Highlights
This assignment comprises five short answer questions
Some questions aim to increase your understanding of knowledge that underpins the practice of paediatric forensic medicine and some questions aim to test your clinical application of this knowledge.
1. When assessing a child with injuries, what opinions can you offer about the following:
a. Timing of injury based on the different colours of bruises
b. Features that differentiate between inflicted bruises and bruises due to normal activity and play
c. Features of fractures in young children (at least 5) that should create suspicion that the fracture occurred as a result of assault and features of the fracture (at least 5) that are far more likely to have been sustained as a result of an accident than an assault.
2. In your jurisdiction
a. What criminal charges and penalties (if any) might apply to a person who neglects a child?
b. What criminal charges and penalties might apply to a person who physically assaults a child?
c. Are you mandated to report suspected child abuse to statutory agencies? If so, on what grounds?
3. Healing
a. Discuss the healing process for wounds (lacerations/ incised wounds) and factors that may impact on this
b. Describe the process and rate of bone healing of infants’ long bones and factors that impact on this
4. Sentinel injuries
a. What is your understanding of the term sentinel injury?
b. Give some examples of sentinel injuries
c. Why are they important?
5. What would make you suspect a chemical burn, rather than a hot food or hot liquid burn/scald, to a toddler’s mouth and surrounding tissues? (Discuss observation, physical examination findings and results of investigations)
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