Original Article

Diagnosis of Child Maltreatment: A Family Medicine Physician’s Dilemma

Objectives: Cases of child maltreatment (CM) in the United States remain high, and primary care providers lack the confidence and training to diagnose these cases. This study provides recommendations to improve family medicine physicians’ confidence in diagnosing CM. Methods: We e-mailed an electronic survey to family medicine residents and physicians…

Posted in: child abuse 5

Original Article

Occult Cranial Injuries Found with Neuroimaging in Clinically Asymptomatic Young Children Due to Abusive Compared to Accidental Head Trauma

Objective: To compare occult brain injuries on neuroimaging in clinically asymptomatic children under 20 months due to abusive versus accidental head trauma. Subjects and Methods: A retrospective review of 58 children under 20 months who underwent neuroimaging for possible abusive trauma was performed. The data collected were demographics, neurological signs/symptoms,…

Posted in: Asymptomatic 2 child abuse 5

Case Report

Flail Chest in a Neonate Resulting from Nonaccidental Trauma

The authors present a 21-day-old infant who sustained a flail chest as a result of nonaccidental trauma. Initial treatment included endotracheal intubation and mechanical ventilation for hypoxemic respiratory failure followed by the administration of continuous positive airway pressure by nasal cannula. Further evaluation resulted in the identification of nonaccidental as…

Posted in: child abuse 5 nonaccidental trauma 2

Original Article

Availability and Perceived Competence of Pediatricians to Serve as Child Protection Team Medical Consultants: A Survey of Practicing Pediatricians

Objectives: The effectiveness of multidisciplinary child protection teams has been demonstrated. This study is an attempt to assess the level of this commitment and the perceived competence of primary care pediatricians to provide this service. Methods: A questionnaire survey was mailed to primary care pediatricians practicing in the state of…

Posted in: child abuse 5 continuing medical education 2 residency education 5 sexual abuse 2

Expired CME Article

Implications of Cyberspace Communication: A Role for Physicians

Through the presentation of three clinical case reports and subsequent discussion, it is demonstrated that physicians must begin to familiarize themselves with the health-related implications of online communication, and must proactively address Internet use as it relates to health and well-being. Included case presentations highlight the following: the established association…

Posted in: child abuse 5 internet 4 patient education 5
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