Page 25 - Demo
P. 25


                                    Non-Accidental Injury (Child Abuse)%u2022 Presentation red flags:%u2022 Delayed medical presentation%u2022 Step-father or boyfriend accompanying child%u2022 Bruises of varying ages and colors%u2022 Bruising at unusual sites%u2022 Multiple fracture history%u2022 Management:%u2022 Admit to ward and manage pain%u2022 Involve local safeguarding children team%u2022 Refer to social services%u2022 Treat underlying medical conditions%u2022 Differential diagnoses:%u2022 Henoch-Sch%u00f6nlein purpura%u2022 Hemophilia%u2022 Idiopathic thrombocytopenic purpura%u2022 Leukemia%u2022 Osteogenesis imperfecta
                                
   19   20   21   22   23   24   25   26   27   28   29