Which types of injuries should be photographed and documented during the workup 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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Screening for abdominal injury is recommended in children younger than 5 years in whom abuse is suspected, even in the absence of clear external evidence of abdominal injury or symptoms such as pain or vomiting. Screening includes the following markers [3, 4] :

  • Liver injury: Aspartate aminotransferase (AST) and alanine aminotransferase (ALT)

  • Pancreatic injury: Amylase and lipase levels

  • Urinary tract injury: Urine analysis for red blood

  • Intestinal injury: Stool guaiac

Photodocumentation of cutaneous injuries, such as burns, bite marks, bruising, or other injuries, is very helpful in cases of child abuse.

See Workup for more detail.

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