Subject(s)
Battered Child Syndrome , Craniocerebral Trauma , Battered Child Syndrome/diagnosis , Battered Child Syndrome/etiology , Battered Child Syndrome/physiopathology , Child, Preschool , Craniocerebral Trauma/diagnosis , Humans , Infant , Magnetic Resonance Imaging , Male , Tomography, X-Ray Computed , UltrasonographyABSTRACT
Shaken Baby Syndrome may have life-long consequences, but it can be prevented. It is far too common and usually arises when the parent or caretaker gets angry, frustrated or impatient, but it can also be caused by inappropriate play. There are pathognomonic signs but suspicion must be high to suspect it. Physicians play an important role in diagnosis, management and most importantly, prevention.
Subject(s)
Battered Child Syndrome/prevention & control , Adult , Age Factors , Battered Child Syndrome/diagnosis , Battered Child Syndrome/etiology , Battered Child Syndrome/physiopathology , Caregivers , Female , Humans , Infant , Male , Physician's Role , Sex FactorsABSTRACT
El Edema agudo hemorrágico del lactante (EHA) es una vasculitis leucocotoclástica, aguda y benigna que cursa con manifestaciones clínicas limitadas habitualmente a la piel. Aunque propia de niños con edades comprendidas entre los 4 y los 24 meses, se ha descrito también en el periodo neonatal. Se considera que puede asociarse a infecciones, vacunaciones o ingesta de fármacos. Plantea interesantes problemas nosológicos (relación con el Síndrome de Schönlein-Henoch, SSH) y de diagnóstico diferencial (AU)
Subject(s)
Female , Infant , Male , Humans , Edema/complications , Edema/diagnosis , Edema/etiology , Edema/therapy , Hemorrhage/complications , Hemorrhage/diagnosis , Hemorrhage/etiology , Hemorrhage/therapy , IgA Vasculitis/complications , IgA Vasculitis/diagnosis , IgA Vasculitis/etiology , IgA Vasculitis/therapy , Medical History Taking/methods , Exanthema/complications , Exanthema/diagnosis , Exanthema/etiology , Exanthema/therapy , Skin Manifestations , Biopsy/methods , Fluorescent Antibody Technique/methods , Steroids/administration & dosage , Steroids/therapeutic use , Recurrence , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Anti-Bacterial Agents/adverse effects , Anti-Inflammatory Agents/administration & dosage , Anti-Inflammatory Agents/therapeutic use , Diagnosis, Differential , Vaccination/adverse effects , Vaccination , Vaccination/methods , Vaccination , Erythema Multiforme/complications , Erythema Multiforme/diagnosis , Erythema Multiforme/etiology , Erythema Multiforme/therapy , Battered Child Syndrome/complications , Battered Child Syndrome/diagnosis , Battered Child Syndrome/etiology , Battered Child Syndrome/therapy , Sepsis/complications , Sepsis/diagnosis , Sepsis/etiology , Sepsis/therapy , Mucocutaneous Lymph Node Syndrome/complications , Mucocutaneous Lymph Node Syndrome/diagnosis , Mucocutaneous Lymph Node Syndrome/etiology , Urticaria/complications , Urticaria/diagnosis , Urticaria/therapyABSTRACT
In summary, inflicted cerebral trauma is a devastating but ultimately preventable brain injury caused by unique physiologic mechanisms that result in a distinctive pattern of injury. Nurses in a variety of settings, from the clinic and emergency room to the pediatric intensive care unit, play a major role in the identification, documentation, diagnosis, treatment, and prevention of ICT. The nurse's unique training also promotes prevention education and nonjudgmental support of the family.
Subject(s)
Battered Child Syndrome , Brain Injuries , Whiplash Injuries , Battered Child Syndrome/diagnosis , Battered Child Syndrome/epidemiology , Battered Child Syndrome/etiology , Battered Child Syndrome/therapy , Biomechanical Phenomena , Brain Injuries/diagnosis , Brain Injuries/epidemiology , Brain Injuries/etiology , Brain Injuries/therapy , Child Care , Child, Preschool , Critical Care/methods , Emergency Treatment/methods , Humans , Infant , Infant, Newborn , Nurse's Role , Parents/education , Parents/psychology , Primary Prevention/methods , Prognosis , Risk Factors , Treatment Outcome , Whiplash Injuries/diagnosis , Whiplash Injuries/epidemiology , Whiplash Injuries/etiology , Whiplash Injuries/therapySubject(s)
Battered Child Syndrome/physiopathology , Animals , Battered Child Syndrome/etiology , Craniocerebral Trauma/complications , Craniocerebral Trauma/physiopathology , Forensic Medicine , Hematoma, Subdural, Chronic/complications , Hematoma, Subdural, Chronic/physiopathology , Humans , Infant , Infant, Newborn , Time FactorsABSTRACT
Se presentan los datos clínicos y sociales más relevantes que se han observado en pacientes víctimas de cualquier forma del síndrome del niño maltrado, atendidos en el Departamento de Medicina Interna del Instituto Nacional de Pediatría, en los últimos años. Se enfatiza la necesidad de trabajar sobre una definición clara y lo más completa posible para poder abarcar todas las formas de maltrato a los niños. Así mismo, se describen los elementos básicos para que este fenómeno ocurra, presentándose algunos aspectos indispensables de cada uno de ellos. Finalmente, se plantea una forma de abordaje multidisciplinario para cada caso. Para ello se requiere el concurso de un grupo de profesionales, médicos y no médicos, con el objetivo de proporcionar al menor y a su familia una atención integral
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Adolescent , Child Abuse, Sexual , Battered Child Syndrome/diagnosis , Battered Child Syndrome/etiology , Battered Child Syndrome/therapy , Substance-Related DisordersSubject(s)
Humans , Child , Causality , Battered Child Syndrome/epidemiology , Social Problems , Family Therapy , Primary Prevention , Risk Factors , Battered Child Syndrome/diagnosis , Battered Child Syndrome/etiology , Battered Child Syndrome/prevention & control , Social Conditions , Domestic Violence/prevention & controlABSTRACT
The radiologist must be familiar with all signs of the battered child syndrome to prevent misinterpretation. Important clinical signs are hematoma at different ages and in uncommon locations. The principle imaging signs are subdural hematoma, brain contusion and multiple skeletal injuries sometimes at different ages. The parents or the persons responsible for care often neglect mentioning an injury. The principle signs are shown and a diagnostic flow chart is presented.