Fiziksel Çocuk İstismarı Şüpheli Olgunun Klinik Yönetimi: Pediatrik Ortopedik Travma Perspektifi

Öz

Fiziksel çocuk istismarı tanımı bir ebeveyn veya bakım üstlenen kişi tarafından darp yoluyla gerçekleştirilmiş yaralanmayı ifade eder. Fiziksel istismar şüpheli olguya uygun yaklaşım ve yasal mercilere bildirim; tekrar eden istismarı koruyucu tedbirlerle engelleyebilecektir. Bu olguların doğru tanılanması, risk faktörleri ve özgü yaralanmaların tanınması ile mümkün olabilir. Hastanın hikayesinde, fizik muayenesinde ve klinik bulgularındaki uyarıcı bulguların tanınması bu nedenle önemlidir. Mevcut literatür gözden geçirmesi ile fiziksel çocuk istismarı şüphesini arttıran klinik karakteristik bulguları ve bu konunun sağlık çalışanları açısından yasal çerçevesini derlemeyi amaçladık.

Anahtar Kelimeler

• çocuk istismarı
• fiziksel çocuk istismarı
• çocuk ihmali
• pediatrik travma
• kaza dışı yaralanmalar
• tıbbi yasal konular

Clinical Management of a Suspected Case of Physical Child Abuse: Pediatric Orthopedic Trauma Perspective

Öz

Abstract Pediatric injuries caused by beating by a parent or caregiver are referred to as physical child abuse. Suspicion of physical child abuse and reporting to legal authorities can prevent repetitive abuse. Appropriate legal notification can only be possible with accurate diagnosis of cases, recognition of risk factors and understanding of specific injuries. Therefore, it is important to recognize the specific features in the history, physical examination and clinical findings of possible cases. With the current literature review, we aimed to compile the clinical characteristic findings that increase the suspicion of physical child abuse and the legal importance of this issue for healthcare professionals.

Anahtar Kelimeler

• Child abuse
• physical child abuse
• child neglect
• pediatric trauma
• non-accidental injuries
• medical legal issues

Kaynakça

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