ABC of Child Protection by Sir Roy Meadow, Jacqueline Mok, Donna Rosenberg

By Sir Roy Meadow, Jacqueline Mok, Donna Rosenberg

Baby abuse is unforgivable and this e-book pulls no punches in describing what it's and displaying the noticeable results. when you are focused on the care of alternative peoples childrens i will be able to suggest it.

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Effect of mode of delivery in nulliparous woman on neonatal intracranial injury. N Engl J Med 1999;341:1709–14. Whitby EH, Griffiths PD, Rutter S. Frequency and natural history of subdural haemorrhages in babies and relation to obstetric factors. Lancet 2004;363:846–51. CHAPTER 7 Ophthalmic Presentations Alex V Levin Virtually any ocular injury may be the result of child abuse. Ocular injury is the presenting sign of physical abuse in 4–6% of cases of child abuse. 1). Non-compliance with medical treatment and neglect can also result in permanent loss of vision.

Ocular injury is the presenting sign of physical abuse in 4–6% of cases of child abuse. 1). Non-compliance with medical treatment and neglect can also result in permanent loss of vision. Sexual abuse may be the route of transmission of a sexually transmitted disease to the eyes. Abused children also may develop functional symptoms such as blinking, unusual visual phenomena, or non-organic loss of vision. Detection of ocular manifestations A complete eye examination, including dilatation of the pupil for retinal examination by an ophthalmologist, is usually indicated whenever physical abuse is suspected in a child under 4 years old.

Even with major trauma such as road traffic accidents, these haemorrhages usually are few in number, confined to the posterior aspect of the retina (posterior pole), and exclusively intraretinal and preretinal. In extremely severe life threatening events, such as a pedestrian struck by a vehicle, more severe haemorrhage might be seen. This is different from the retinal haemorrhages of the shaken baby, which in two thirds of cases are too numerous to count, distributed diffusely throughout the retina with extension beyond the posterior pole to the retinal edge (ora serrata), and found at all layers including subretinal, and, in one third, include macular traumatic retinoschisis.

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