Child Abuse

Part 1 General aspects: defining child abuse - clinical mandate - evolving concepts; recognizing and reporting child abuse; etiology and prevention of abuse - societal factors; etiology and prevention of abuse - family and individual factors; child abuse fatalities; biomechanics of non-accidental trauma; multidisciplinary approach to child protection; child abuse - a historical perspective. Part 2 Physical abuse: skin and soft tissue injuries; child abuse, burn injuries; neurosurgical aspects of child abuse; thoraco-abdominal trauma; radiographic signs of skeletal trauma; dental trauma and bite mark evaluation; ophthalmic manifestations of child abuse; unusual injuries. Part 3 Sexual abuse: special problems of caring for the sexually abuse child; genital and anal trauma; sexually transmitted diseases; specimen collection in sexual abuse; special interviewing techniques; sex rings, pornography and prostitution. Part 4 Neglect: failure to thrive and starvation; child neglect - general concepts and medical neglect; perinatal abuse; other forms of neglect. Part 5 Psychological abuse: acute psychiatric manifestations of child abuse; chronic psychological manifestations of abuse. Part 6 Medical legal aspects: forensic investigations of periatric deaths; neuropathology of child abuse; civil and criminal judicial intervention; the physicians role in court; children in placement; photography fo the abuse and neglected child. Appendices - glossary of medical terms; directory of state laws; autopsy protocol; American academy of pediatrics - radiographic guidelines; organizations working with child abuse; current therapy for sexually transmitted diseases; growth charts; developmental milestones.