TY - JOUR PY - 2013// TI - Evaluating for suspected child abuse: conditions that predispose to bleeding JO - Pediatrics A1 - Carpenter, Shannon L. A1 - Abshire, Thomas C. A1 - Anderst, James D. A1 - Carpenter, Shannon L. A1 - Abshire, Thomas C. A1 - Anderst, James D. A1 - Hord, Jeffrey A1 - Crouch, Gary A1 - Hale, Gregory A1 - Mueller, Brigitta A1 - Rogers, Zora A1 - Shearer, Patricia A1 - Werner, Eric A1 - Feig, Stephen A1 - Kodish, Eric A1 - Gamis, Alan SP - e1357 EP - 73 VL - 131 IS - 4 N2 - Child abuse might be suspected when children present with cutaneous bruising, intracranial hemorrhage, or other manifestations of bleeding. In these cases, it is necessary to consider medical conditions that predispose to easy bleeding/bruising. When evaluating for the possibility of bleeding disorders and other conditions that predispose to hemorrhage, the pediatrician must consider the child's presenting history, medical history, and physical examination findings before initiating a laboratory investigation. Many medical conditions can predispose to easy bleeding. Before ordering laboratory tests for a disease, it is useful to understand the biochemical basis and clinical presentation of the disorder, condition prevalence, and test characteristics. This technical report reviews the major medical conditions that predispose to bruising/bleeding and should be considered when evaluating for abusive injury.
Language: en
LA - en SN - 0031-4005 UR - http://dx.doi.org/10.1542/peds.2013-0196 ID - ref1 ER -