TY - JOUR
T1 - Evaluating for suspected child abuse
T2 - Conditions that predispose to bleeding
AU - Carpenter, Shannon L.
AU - Abshire, Thomas C.
AU - Anderst, James D.
AU - Hord, Jeffrey
AU - Crouch, Gary
AU - Hale, Gregory
AU - Mueller, Brigitta
AU - Rogers, Zora
AU - Shearer, Patricia
AU - Werner, Eric
AU - Christian, Cindy W.
AU - Crawford-Jakubiak, James
AU - Flaherty, Emalee
AU - Leventhal, John M.
AU - Lukefahr, James
AU - Sege, Robert
PY - 2013/4
Y1 - 2013/4
N2 - Child abuse might be suspected when children present with cutaneous bruising, intracranial hemorrhage, or other manifestations of bleeding. In these cases, it is necessary to consider medical conditions that predispose to easy bleeding/bruising. When evaluating for the possibility of bleeding disorders and other conditions that predispose to hemorrhage, the pediatrician must consider the child's presenting history, medical history, and physical examination findings before initiating a laboratory investigation. Many medical conditions can predispose to easy bleeding. Before ordering laboratory tests for a disease, it is useful to understand the biochemical basis and clinical presentation of the disorder, condition prevalence, and test characteristics. This technical report reviews the major medical conditions that predispose to bruising/bleeding and should be considered when evaluating for abusive injury.
AB - Child abuse might be suspected when children present with cutaneous bruising, intracranial hemorrhage, or other manifestations of bleeding. In these cases, it is necessary to consider medical conditions that predispose to easy bleeding/bruising. When evaluating for the possibility of bleeding disorders and other conditions that predispose to hemorrhage, the pediatrician must consider the child's presenting history, medical history, and physical examination findings before initiating a laboratory investigation. Many medical conditions can predispose to easy bleeding. Before ordering laboratory tests for a disease, it is useful to understand the biochemical basis and clinical presentation of the disorder, condition prevalence, and test characteristics. This technical report reviews the major medical conditions that predispose to bruising/bleeding and should be considered when evaluating for abusive injury.
KW - Bruising
KW - Inherited coagulation disorders
KW - Intracranial hemorrhage
KW - Nonaccidental trauma
UR - http://www.scopus.com/inward/record.url?scp=84875989186&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84875989186&partnerID=8YFLogxK
U2 - 10.1542/peds.2013-0196
DO - 10.1542/peds.2013-0196
M3 - Review article
C2 - 23530171
AN - SCOPUS:84875989186
SN - 0031-4005
VL - 131
SP - e1357-e1373
JO - Pediatrics
JF - Pediatrics
IS - 4
ER -