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20 Cards in this Set
- Front
- Back
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epidemiology of CAN
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• boys/girls ratio
• first child • handicapped children • highest risk – under 2 years • abused parents |
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CAN (child abuse & neglect) include
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• Physical abuse
• Neglect • Sexual abuse • Emotional abuse • Munchhausen syndrome |
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Munchhausen syndrome
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affected person exaggerates or creates symptoms of illnesses in themselves to gain investigation, treatment, attention, sympathy, and comfort from medical personnel
>> do the same towards their children |
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CAN according to WHO
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• any stroke to the head
• any stroke by an object • strong strokes by hand to the body with more serious outcome than transient skin redness |
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sexual abuse
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• Exhibicionism
• Harassment • Sexualattack • Rape • Incest • Pedophilic abuse • Sexualtourism |
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CAN risk factors - child
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– Age under 3 years
– Handicap – First child |
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CAN risk factors - parents
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– Mental disease
– Drug/alcohol abuse – ? Powerty, social status? – Dependence on abuser – History of CAN |
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neutral factors
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• Sex of the victim
– Specifics of sexual abuse • Education and social status of the parents |
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protective factors
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• Support in wider family
• Fear of child |
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CAN
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• Physical abuse ( nonaccidental injury)
• Neglect • Sexual abuse • Emotional abuse • Munchhausen sy by proxy |
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physical abuse
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• Hitting – hand, fist • Hitting by an object • fractures
• biting • cutting • High temperature • suffocating |
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Suspicious hematomas
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• Infantunder7months
• Localisationon„soft“ parts of the body, genital area or sumbmental area • Specificshapes • Multiplehematomas and bruises of different age |
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Differential diagnosis
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• Bleeding
– PT, APTT, Blood count (thrombocytes) • Accidental injury • HS purpura |
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biting
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• Children ( distance of canine teeth less than 2,5 cm)
• Adults • Animals (shape, depth) • Self-injury |
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burns
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• Liquid ( insertion, spills)
• Direct effect of flame • Hot object |
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fractures
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• Skull
• Epiphyseolysis • Ribs • Old fractures |
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neglect
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– Hygiene
– Feeding – Clothing – Accomodation – Education – Health care |
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sexual abuse
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• Exhibicionism
• Sexualtourism • Harassment • Sexualattack • Rape • Incest |
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emotional abuse
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• Absence of love
• No interest, coldness • Hypercriticism • Comparation • Unreal goals |
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Műnchausen syndrome by proxy
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• Healthcare professionals
• Symptoms: – GIT (diarhoe, bleeding) – Hematuria – Skin – Systemic (sepsis) |
