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By Frank Bamford; Jacqueline Y Q Mok; Donna Rosenberg, MD

The fourth variation of this significant and hugely praised consultant has been considerably revised and up to date, supplying concise, useful details on a tough and distressing sector of paediatric drugs. This re-creation of the ABC of kid Protection now contains extra chapters on belly damage, overlook and failure to thrive. It offers the most recent details at the analysis and research of abuse, and explains the present roles of social providers and the legislation in safeguarding children.

Written via top paediatricians, psychiatrists, social staff and attorneys, this finished e-book is a useful reference for pros excited about children’s welfare, together with common practitioners, emergency employees, paediatricians, police surgeons, psychiatrists, future health viewers, social staff, and legal professionals

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Towner D, Castro MA, Eby-Wilkens E, Gilbert WM. 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.

They also have more flexible ribs that cover proportionally less of the abdomen. Children have organs that are proportionally larger, predisposing them to multiple organ injury. 3 This child ultimately died of a subdural haematoma and brain injury. Computed tomogram shows three rib fractures at various stages of healing. Note location of fractures. With compression of the chest by an adult, the posterior portions of the ribs articulate posteriorly and are fractured by impingement against the transverse process of the vertebra.

Perpetrators have admitted to shaking babies, either by holding them around the chest (Fig. 2) or by grabbing them by the limbs and swinging them. There is continuing debate in the literature as to whether shaking alone or shaking and impact is necessary to cause non-accidental head injury. The causative mechanism of a subdural haemorrhage is thought to involve acceleration and deceleration forces to the brain with a rotational component, causing rupture of the fine veins that cross the subdural space; these veins then bleed into that space.

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