Typical findings of maltreated children
Rauch, E.; Zinka, B.; Schneider, K.; Penning, R.; Eisenmenger, W.
MMW Fortschritte der Medizin 148(24): 27; 29-32
2006
ISSN/ISBN: 1438-3276 PMID: 16850804 Document Number: 604010
Childhood maltreatment manifests in a variety of forms and the underlying causes are manifold. In contrast to other offences involving physical injury, reporting behavior has, statistically speaking, remained unchanged. Patterns of injury must first be established and documented, and this involves a complete examination of the child's body. Depending on the constellation of findings, a radiological diagnosis is usually necessary. When all the findings have been collected, the further steps to be taken--where indicated a report to the police--must be discussed. All the evidence must be recorded, and photos obtained of all externally visible injuries before they fade. It is not the task of the physician to develop criminalistic ambitions, for example, by grilling (a parent) on the cause of the injuries. However, he/she has a duty to do everything necessary to protect the well-being of the child.