Gregory Wallace, DO

Rib fractures suggest abuse and are a lone finding in 29% of skeletal injury cases.

Rib fractures suggest abuse and are a lone finding in 29% of pediatric skeletal injury cases.

This child's mother was worried that these lesions were sexually transmitted. What's your suspicion?

The mother of this 4-year-old girl was concerned that these lesions were sexually transmitted. The physician recognized them as molluscum, but was uncertain of the potential relationship of this rash to child abuse.

The ophthalmologist was not able to rule abuse in or out based on his examination because of the number of retinal hemorrhages seen.

This is a case of non-abuse: the foreign body was an attempt at self-stimulation.

Blisters are relatively common in a busy office or pediatric ED.Child abuse should be included in the differential diagnosis of blisters, along with immersion burn, blistering distal dactylitis, and epidermolysis bullosa simplex.

In sexual abuse examinations, children often change their stories. How do you know what to believe? Read 3 key points about the question.

A mother presented to the ED with her 3-year-old child asking about an upper respiratory infection and an incidental wound around the child’s neck.

This 4-year-old boy returned home after a day at a small private daycare with a bite mark on his forearm.

The teacher of a 6-year-old noticed suspicious bruises on the child’s leg and notified Children’s Protective Services. Arrangements were made to see the child at school. The social worker noted 2 complete and 2 partial hand imprints on the child.

Swelling and redness have progressed over the past 16 hours in this 5-month old boy.

A 14-year-old boy presented to the abuse clinic at the request of child protective services. The boy’s gym teacher had noticed multiple large bruises on his back, arms, and legs. School officials had previous experience with the child’s “volatile” stepfather and thought him “capable of abuse.” There were also unofficial concerns of past domestic abuse. A 14-year-old boy presented to the abuse clinic at the request of child protective services. The boy’s gym teacher had noticed multiple large bruises on his back, arms, and legs. School officials had previous experience with the child’s “volatile” stepfather and thought him “capable of abuse.” There were also unofficial concerns of past domestic abuse.

A sleeping 12-month-old child was spotted alone in a parked car by a passerby. The passerby observed the situation for a period of time, only to see no one returned for the child. The passerby then called 911 for help after an undetermined length of time.