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儿童身体虐待的咨询:超越病史和体格检查。

Consultation for child physical abuse: Beyond the history and physical examination.

机构信息

Department of Pediatrics, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States.

Department of Pediatrics, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States.

出版信息

Child Abuse Negl. 2021 Jan;111:104792. doi: 10.1016/j.chiabu.2020.104792. Epub 2020 Nov 4.

DOI:10.1016/j.chiabu.2020.104792
PMID:33158586
Abstract

OBJECTIVE

To describe the components of an approach to the consultation for suspected child physical abuse beyond the history, physical findings, and laboratory and radiographic data.

METHOD

Description of both a baseline organizational structure and recommended behaviors.

RESULTS

We describe four domains of the approach to the consultation for suspected child physical abuse by child abuse clinicians: (1)components to have in place before a consultation, (2) components of a quality consultation, (3) sharing a final opinion, and (4) inevitable pitfalls.

CONCLUSION

In proposing this approach, we aim both to make transparent and spark discussion about the way we work and to answer questions about the role of child abuse clinicians raised by recent interest in this subject by the mass media.

摘要

目的

描述疑似儿童身体虐待咨询的方法,超越病史、体检结果、实验室和影像学数据。

方法

描述基线组织结构和推荐行为。

结果

我们描述了儿童虐待临床医生在疑似儿童身体虐待咨询中采用的四个方法领域:(1)咨询前需要具备的组件,(2)高质量咨询的组件,(3)分享最终意见,以及(4)不可避免的陷阱。

结论

通过提出这种方法,我们旨在使我们的工作方式透明化并引发讨论,并回答大众媒体对这一主题最近的关注所提出的关于儿童虐待临床医生作用的问题。

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Consultation for child physical abuse: Beyond the history and physical examination.儿童身体虐待的咨询:超越病史和体格检查。
Child Abuse Negl. 2021 Jan;111:104792. doi: 10.1016/j.chiabu.2020.104792. Epub 2020 Nov 4.
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Child Maltreatment and Neglect.儿童虐待和忽视。
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Diagnosing child maltreatment.诊断儿童虐待。
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Diagnosis and management of physical abuse in children.儿童身体虐待的诊断与处理。
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Providing medical evaluations for possible child maltreatment to children with special health care needs.为有特殊医疗保健需求的儿童提供关于可能遭受虐待的医学评估。
Child Abuse Negl. 2003 Oct;27(10):1179-86. doi: 10.1016/j.chiabu.2003.09.005.
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A Closer Look: Medical Conditions that Mimic Physical Abuse.深入观察:类似身体虐待的医疗状况。
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