Bruises, blood coagulation tests and the battered child syndrome.
نویسنده
چکیده
Cutaneous bruises are a common symptom and a sign of injury and blood coagulation disorders in childhood. A carefully-taken history, coupled with a thorough physical examination, would lead to the diagnosis, or guide the clinician to the necessary laboratory investigations. Most children suffering from non-accidental injury can have their diagnosis established on clinical grounds alone and do not require laboratory investigation. An initial screening with full blood counts, prothrombin time and activated partial thromboplastin time will be adequate in most cases if laboratory investigation is indicated, but the clinician must be aware of the limitations of these tests. The finding of an abnormal coagulation test does not exclude child abuse as it can be a consequence of maltreatment, or the two conditions may coexist. Whenever necessary, the opinion of a haematologist should be sought in order to obtain an accurate diagnosis, which is essential for subsequent management and the prevention of further injury in the case of child abuse.
منابع مشابه
Significance of platelet function diagnostics for clarification of suspected battered child syndrome.
The manifestation of an unclear bleeding tendency in childhood calls for an extended coagulation work-up, particularly when a battered child syndrome is suspected and typical concomitant injuries are absent. The chosen diagnostic tests should be able to detect the presence of relatively common coagulation defects such as von Willebrand syndrome or hemophilia, but also rare diseases such as inhe...
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The line between medicine and law has never been exactly bright. Yet when physical violence occurs, it naturally implicates both disciplines. This interdisciplinary blend is particularly evident in the case of child abuse. Thus, as child abuse became a recognized phenomenon in medical science, it also became a subject of criminal prosecution. As the scientific definition of child abuse has expa...
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ورودعنوان ژورنال:
- Singapore medical journal
دوره 49 6 شماره
صفحات -
تاریخ انتشار 2008