Which screening tools are used in the assessment of suspected physical child abuse?

Updated: Apr 24, 2017
  • Author: Angelo P Giardino, MD, MPH, PhD; Chief Editor: Caroly Pataki, MD  more...
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Answer

History and the physical examination findings determine which laboratory and diagnostic imaging studies are performed. [1] Screening tools for suspected disorders or injuries are as follows:

  • Bleeding problem: A basic bleeding evaluation (platelets, prothrombin time [PT], activated partial thromboplastin time [aPTT])

  • Genetic bone disease or mineralization defect: Calcium, magnesium, phosphorus, and vitamin D levels; review of radiographs with a pediatric radiologist; genetic consultation, if available, may be warranted

  • Toxin or drug ingestion: toxicology screening [2]


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