CME article on determining when a bruise on a child is possible abuse, and when it may be due to bleeding diathesis.
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Target audience: Pediatricians and primary care physicians
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Disclosures Editors Toby Hindin, Jeannette Mallozzi, and Jeff Ryan disclose that they do not have any financial relationships with any manufacturer in this area of medicine.
Manuscript reviewers disclose that they do not have any financial relationships with any manufacturer in this area of medicine.
DR. SAVAGE is an Assistant Professor in the Departments of Transfusion Medicine and Department of Pediatric Hematology, Johns Hopkins School of Medicine, Baltimore.
DR. TAKEMOTO is an Assistant Professor in the Department of Pediatric Hematology, Johns Hopkins School of Medicine.
The authors have nothing to disclose with regard to affiliations with, or financial interest in, any organization that may have an interest in any part of this article.
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Unapproved/off-label use discussion Faculty may discuss information about pharmaceutical agents, devices, or diagnostic products that are outside of FDA-approved labeling. This information is intended solely for CME and is not intended to promote off-label use of these medications. If you have questions, contact the medical affairs department of the manufacturer for the most recent prescribing information. Faculty are required to disclose any off-label discussion.
When you do decide to pursue a child's bleeding, a thorough history with focused questions pertinent to bleeding and a physical exam combined with screening tests are basic tenets of the initial workup.