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Case Report: Is it falling from Height or Physical Abuse?

Year 2018, , 108 - 111, 01.04.2018
https://doi.org/10.5455/umj.20171229122922

Abstract

Background: Physical abuse is a non-accidental injury of the child. Physical abuse is the most frequently encountered, and the most easily recognized type of maltreatment. Most frequently, ecchymosis is detected related to physical abuse. If physical abuse is suspected, and necessary precautions are not taken, then severity, and duration of the physical abuse may increase. Case Presentation: The study aims to present a pediatric case where the etiologies of the lesions on the victim’s body were questioned, and to draw attention to the forensic-medical approach towards such cases.

References

  • 1. Tıraşcı Y, Gören S. Child Abuse and Neglect. Dicle Med J. 2007;34(1);70-4.
  • 2. Beyaztas FY, Ozen B, Butun C. The Evaluation of the Physical Child Abuse. Med Science 2014;3(2):1315-31.
  • 3. Terzi S. A Qualitative Study of Child Abuse Reported in Newspapers.The J Turk Educ Sci. 2014; 12(2):126-33.
  • 4. Maguire S. Which injuries may indicate child abuse?. Arch Dis Child-Educ Pract. 2010; 95(6): 170-7.
  • 5. Kaczor K, Pierce, MC, Makoroff K, Corey TS. Bruising and physical child abuse. Clin Ped Emerg Med. 2006; 7(3):153-60.
  • 6. Koç F, Halıcıoğlu O, Aksit S. Which Findings May Suggest Physical Abuse?. J Ped Res 2014; 1(1): 1-5.
  • 7. Kara B, Biçer Ü, Gökalp AS. Child Abuse. Cocuk Sagligi Hast. Derg. 2004;47:140-51.
  • 8. Acehan S, Bilen A, Ay MO, Gülen M, Avcı A, İçme F. Evaluation of Child Abuse and Neglect. Arch Med Rev J 2013;22(4):591-614.
  • 9. Ayaz M, Ayaz AB. Multidisciplinary Approach to Child Abuse: A Case Report. Clin Psychiatry. 2014;17:98-102.
  • 10.Allareddy V, Asad R, Lee MK, Nalliah RP, Rampa S, Speicher DG, Rotta AT, Allareddy V. Hospital Based Emergency Department Visits Attributed to Child Physical Abuse in Unites States: Predictors of In Hospital Mortality. PLoS One. 2014;9(6):e100110.
  • 11.Christian CW. The Evaluation of Suspected Child Physical Abuse. Pediatrics 2015;135:e1337-e1354.
  • 12.Badoe E. A critical review of child abuse and its management in Africa. Afr J Emerg Med 2017;7:32-5.
  • 13.Ji Kai, Finkelhor D. A Meta-analysis of child physical abuse prevalence in China. Child Abuse&Neglect 2015;43:61-72.
  • 14.Turhan E, Sangül Ö, İnandı T. Child Abuse and Prevention in Primary Care. Sted 2006; 15: 153-7.
  • 15.Sedlak AJ, Mettenburg J, Basena M, Petta I, McPherson K, Greene, A, Li S. Fourth National Incidence Study of Child Abuse and Neglect (NIS–4): Report to Congress. Washington, DC: U.S. Department of Health and Human Services, Administration for Children and Human Services, Administration for Children and Families. 2010; Accessed Dec 4, 2017, from: https://www.acf.hhs.gov/sites/default/files /opre/nis4_report_congress_full_pdf_jan2010.pdf.
  • 16.Burton P, Ward CL, Artz L. The Optimus study on child abuse, violence and neglect in South Africa. Cape T Cent Justice Crime Prev [Internet]. 2015; Accessed Dec 4, 2017, from: https://www.uct.ac.za/usr/press/2015/OptimusStudy_31July 2015.pdf
  • 17.Güler N, Uzun S, Boztaş Z, Aydoğan S. The Behaviours of Mothers who Perform Physical or Emotional Abuse/Neglect of Their Children. C.Ü. Tıp Fakul Derg. 2002;24(3):128-34.
  • 18.Battaloglu-İnanc B, Ciftci S, Deger V. Exposure to physical violence in elementary school students in Mardin and their approaches. Turk Arch Ped. 2013;48:226-34.
  • 19.Kucuk Bicer B, Ozcebe H, Kose E, Kose O, Unlu H. The Family Point of View for Corporal Punishment in Turkey: A Comparative Study. Turkish J Pediatr Dis. 2017;2:90-7.
  • 20.Krug EG, Dahlberg LL, Mercy JA, Zwi AB LR. World report on violence and health. World Heal Organ Geneva [Internet]. 2002;57–86. Accessed Dec 5, 2017, from:http://apps.who.int /iris/bitstream/10665/42495/1/9241545615_eng.pdf.
  • 21.Damashek A, Nelson MM, Bonner BL. Fatal child maltreatment: Characteristics of deaths from physical abuse versus neglect. Child Abuse Negl. 2013;37:735-44.
  • 22.Zeren C, Yengil E, Celikel A, Arik A AM. Frequency of childhood abuse in university students. Dicle Med J. 2012;39(4):536–41.
  • 23.Güloğlu B, Karaırmak Ö, Emiral E. The role of spirituality and forgiveness in childhood trauma. Anatolian J Psychiatry 2016;17(4):309-16. Kemp AM, Maguire SA, Nuttall D, Collins P, Dunstan F. Bruising in children who are assessed for suspected physical abuse. Arch Dis Child. 2014;99(2):108– 113.
  • 24.Sugar NF, Taylor JA, Feldman KW. Bruises in infants and toddlers: those who don’t cruise rarely bruise. Arch Pediatr Adolesc Med. 1999;153:399-403.
  • 25.Cairns AM, Mok JY, Welbury RR. Injuries to the head, face, mouth and neck in physically abused children in a community setting. Int J Paediatr Dent. 2005;15(5):310–318.
  • 26.Pierce MC, Kaczor K, Aldridge S, O’Flynn J, Lorenz DJ. Bruising characteristics discriminating physical child abuse from accidental trauma. Pediatrics. 2010;125(1):67–74.
  • 27.Fergusson DM, Boden JM, Horwood LJ. Exposure to childhood sexual and physical abuse and adjustment in early adulthood. Child Abuse Negl. 2008;32(6): 607–19.
  • 28.Taner Y, Gökler B. Child abuse and neglect: psychiatric aspects. Hacettepe Med J. 2004;35:82-86.
  • 29.Lindert J, Ehrenstein OS, Grashow R, Gal G, Braehler E, Weisskopf MG. Sexual and physical abuse in childhood is associated with depression and anxiety over the life course: systematic review and meta-analysis. Int J Public Health. 2014;59:359–72.
  • 30.Gündüz B, Gökçakan Z. Fiziksel İstismar Açısından Üniversite Öğrencilerinin Problem Çözme Becerilerinin İncelemesi. Muğla Üniversitesi SBE dergisi. 2004;14:29-40.
  • 31.Jenny C, Hymel KP, Ritzen A, Reinert SE, Hay TC. Analysis of missed cases of abusive head trauma. JAMA 1999;281 (7): 621– 6.
  • 32.Kanık A, İnce OT, Yesiloglu S, Eliaçık K, Bakiler AR. Abusive Head trauma: Two Case Reports. Turk Arch Ped. 2015;50: 180-4.
  • 33.Yılmaz G, İşiten N, Ertan Ü, Öner A. Bir çocuk istismarı vakası. Çocuk Sagligi Hast. Derg. 2003;46:295-8.
  • 34.Can-Yasar M, İnal Kızıltepe G, Kandır A. Preservice Teachers’ Awareness Levels Regarding the Signs of Physical Abuse in Children. J Theo Educ Sci. 2014;7(3):286-303.
Year 2018, , 108 - 111, 01.04.2018
https://doi.org/10.5455/umj.20171229122922

Abstract

References

  • 1. Tıraşcı Y, Gören S. Child Abuse and Neglect. Dicle Med J. 2007;34(1);70-4.
  • 2. Beyaztas FY, Ozen B, Butun C. The Evaluation of the Physical Child Abuse. Med Science 2014;3(2):1315-31.
  • 3. Terzi S. A Qualitative Study of Child Abuse Reported in Newspapers.The J Turk Educ Sci. 2014; 12(2):126-33.
  • 4. Maguire S. Which injuries may indicate child abuse?. Arch Dis Child-Educ Pract. 2010; 95(6): 170-7.
  • 5. Kaczor K, Pierce, MC, Makoroff K, Corey TS. Bruising and physical child abuse. Clin Ped Emerg Med. 2006; 7(3):153-60.
  • 6. Koç F, Halıcıoğlu O, Aksit S. Which Findings May Suggest Physical Abuse?. J Ped Res 2014; 1(1): 1-5.
  • 7. Kara B, Biçer Ü, Gökalp AS. Child Abuse. Cocuk Sagligi Hast. Derg. 2004;47:140-51.
  • 8. Acehan S, Bilen A, Ay MO, Gülen M, Avcı A, İçme F. Evaluation of Child Abuse and Neglect. Arch Med Rev J 2013;22(4):591-614.
  • 9. Ayaz M, Ayaz AB. Multidisciplinary Approach to Child Abuse: A Case Report. Clin Psychiatry. 2014;17:98-102.
  • 10.Allareddy V, Asad R, Lee MK, Nalliah RP, Rampa S, Speicher DG, Rotta AT, Allareddy V. Hospital Based Emergency Department Visits Attributed to Child Physical Abuse in Unites States: Predictors of In Hospital Mortality. PLoS One. 2014;9(6):e100110.
  • 11.Christian CW. The Evaluation of Suspected Child Physical Abuse. Pediatrics 2015;135:e1337-e1354.
  • 12.Badoe E. A critical review of child abuse and its management in Africa. Afr J Emerg Med 2017;7:32-5.
  • 13.Ji Kai, Finkelhor D. A Meta-analysis of child physical abuse prevalence in China. Child Abuse&Neglect 2015;43:61-72.
  • 14.Turhan E, Sangül Ö, İnandı T. Child Abuse and Prevention in Primary Care. Sted 2006; 15: 153-7.
  • 15.Sedlak AJ, Mettenburg J, Basena M, Petta I, McPherson K, Greene, A, Li S. Fourth National Incidence Study of Child Abuse and Neglect (NIS–4): Report to Congress. Washington, DC: U.S. Department of Health and Human Services, Administration for Children and Human Services, Administration for Children and Families. 2010; Accessed Dec 4, 2017, from: https://www.acf.hhs.gov/sites/default/files /opre/nis4_report_congress_full_pdf_jan2010.pdf.
  • 16.Burton P, Ward CL, Artz L. The Optimus study on child abuse, violence and neglect in South Africa. Cape T Cent Justice Crime Prev [Internet]. 2015; Accessed Dec 4, 2017, from: https://www.uct.ac.za/usr/press/2015/OptimusStudy_31July 2015.pdf
  • 17.Güler N, Uzun S, Boztaş Z, Aydoğan S. The Behaviours of Mothers who Perform Physical or Emotional Abuse/Neglect of Their Children. C.Ü. Tıp Fakul Derg. 2002;24(3):128-34.
  • 18.Battaloglu-İnanc B, Ciftci S, Deger V. Exposure to physical violence in elementary school students in Mardin and their approaches. Turk Arch Ped. 2013;48:226-34.
  • 19.Kucuk Bicer B, Ozcebe H, Kose E, Kose O, Unlu H. The Family Point of View for Corporal Punishment in Turkey: A Comparative Study. Turkish J Pediatr Dis. 2017;2:90-7.
  • 20.Krug EG, Dahlberg LL, Mercy JA, Zwi AB LR. World report on violence and health. World Heal Organ Geneva [Internet]. 2002;57–86. Accessed Dec 5, 2017, from:http://apps.who.int /iris/bitstream/10665/42495/1/9241545615_eng.pdf.
  • 21.Damashek A, Nelson MM, Bonner BL. Fatal child maltreatment: Characteristics of deaths from physical abuse versus neglect. Child Abuse Negl. 2013;37:735-44.
  • 22.Zeren C, Yengil E, Celikel A, Arik A AM. Frequency of childhood abuse in university students. Dicle Med J. 2012;39(4):536–41.
  • 23.Güloğlu B, Karaırmak Ö, Emiral E. The role of spirituality and forgiveness in childhood trauma. Anatolian J Psychiatry 2016;17(4):309-16. Kemp AM, Maguire SA, Nuttall D, Collins P, Dunstan F. Bruising in children who are assessed for suspected physical abuse. Arch Dis Child. 2014;99(2):108– 113.
  • 24.Sugar NF, Taylor JA, Feldman KW. Bruises in infants and toddlers: those who don’t cruise rarely bruise. Arch Pediatr Adolesc Med. 1999;153:399-403.
  • 25.Cairns AM, Mok JY, Welbury RR. Injuries to the head, face, mouth and neck in physically abused children in a community setting. Int J Paediatr Dent. 2005;15(5):310–318.
  • 26.Pierce MC, Kaczor K, Aldridge S, O’Flynn J, Lorenz DJ. Bruising characteristics discriminating physical child abuse from accidental trauma. Pediatrics. 2010;125(1):67–74.
  • 27.Fergusson DM, Boden JM, Horwood LJ. Exposure to childhood sexual and physical abuse and adjustment in early adulthood. Child Abuse Negl. 2008;32(6): 607–19.
  • 28.Taner Y, Gökler B. Child abuse and neglect: psychiatric aspects. Hacettepe Med J. 2004;35:82-86.
  • 29.Lindert J, Ehrenstein OS, Grashow R, Gal G, Braehler E, Weisskopf MG. Sexual and physical abuse in childhood is associated with depression and anxiety over the life course: systematic review and meta-analysis. Int J Public Health. 2014;59:359–72.
  • 30.Gündüz B, Gökçakan Z. Fiziksel İstismar Açısından Üniversite Öğrencilerinin Problem Çözme Becerilerinin İncelemesi. Muğla Üniversitesi SBE dergisi. 2004;14:29-40.
  • 31.Jenny C, Hymel KP, Ritzen A, Reinert SE, Hay TC. Analysis of missed cases of abusive head trauma. JAMA 1999;281 (7): 621– 6.
  • 32.Kanık A, İnce OT, Yesiloglu S, Eliaçık K, Bakiler AR. Abusive Head trauma: Two Case Reports. Turk Arch Ped. 2015;50: 180-4.
  • 33.Yılmaz G, İşiten N, Ertan Ü, Öner A. Bir çocuk istismarı vakası. Çocuk Sagligi Hast. Derg. 2003;46:295-8.
  • 34.Can-Yasar M, İnal Kızıltepe G, Kandır A. Preservice Teachers’ Awareness Levels Regarding the Signs of Physical Abuse in Children. J Theo Educ Sci. 2014;7(3):286-303.
There are 34 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Erdem Hösükler This is me

Zerrin Erkol This is me

Hayri Erkol This is me

Semih Petekkaya This is me

Veyis Gündoğdu This is me

Hakan Samurcu This is me

Publication Date April 1, 2018
Published in Issue Year 2018

Cite

Vancouver Hösükler E, Erkol Z, Erkol H, Petekkaya S, Gündoğdu V, Samurcu H. Case Report: Is it falling from Height or Physical Abuse?. ULUTAS MED J. 2018;4(2):108-11.