Recognizing and Responding to Child Abuse in the Medical Setting

As medical professionals it is imperative that we keep child abuse and neglect on our differential diagnosis when assessing children, no matter where we provide care. We must follow our clinical instincts and gather additional history to better understand the mechanism of injury, ask for photo/video documentation to determine plausibility of an injury, and separate the child from the caregiver to obtain a potentially unbiased history when needed. Proficiency in doing a complete anogenital examination, noting normal variants as well as recognizing possible infections or injuries, and referring

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