USMLE (Fach) / Psychiatry (Lektion)

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Physical abuse: - Fractures (eg, ribs, long bone spiral, multiple in differents stages of healing)- Bruises (eg, trunk, ear, neck)- Burns (eg, cigarette, buttocks/thighs)- Subdural hematomas/retinal hemorrhages ("shaken baby syndrome")- During exam, children often avoid eye contact.- Red flags include history inconsistent with degree or type of injury (eg, 2-month-old rolling out of bed or falling down stairs), delayed medical care, caregiver story changes with retelling.- Abuser: Usually biological mother- 40% of deaths related to child abuse or neglect occur in children <1 year old.

Sexual abuse:- Genital, anal, or oral trauma; STIs; UTIs- Abuser: Known to victim, usually male- Peak incidence 9-12 years old

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