Child Abuse: Parenteral Hydrocarbon Administration

PEDIATRICS ◽  
1984 ◽  
Vol 73 (5) ◽  
pp. 719-722
Author(s):  
FRANK T. SAULSBURY ◽  
MICHAEL C. CHOBANIAN ◽  
WILLIAM G. WILSON

The recognized spectrum of child abuse and neglect has expanded enormously since the original description of the battered child syndrome by Kempe et al, in 1962.1 In addition to physical abuse, we now realize that sexual abuse and nutritional neglect, as well as emotional abuse and neglect of children are problems of considerable magnitude. Another form of child abuse reported with increasing frequency is the intentional poisoning of children. Although this form of child abuse was mentioned by Kempe et al1 in their original report, it has only recently received more recognization and attention. Because of several unique characteristics, some authors2-4 favor considering intentional poisoning as a distinct subgroup of child abuse.

1987 ◽  
Vol 11 (9) ◽  
pp. 295-299
Author(s):  
Arnon Bentovim

Kempe, in an address to the International Association for Child Abuse and Neglect in 1979, drew the professional communities' attention to ‘the serious plight of sexually abused children’. He described this as the final stage in the communities' recognition of patterns of child abuse. This cycle had commenced with his recognition of ‘The Battered Child Syndrome’ in the early 60s.


PEDIATRICS ◽  
1966 ◽  
Vol 37 (2) ◽  
pp. 377-382
Author(s):  

MALTREATMENT OF CHILDREN, or child abuse, takes many forms. It may be serious gross neglect of the child's welfare to the point of starvation, cruelty resulting in emotional damage to the child, or physical assault by a parent, older sibling, or person charged with the care of the child, as described in the term "battered child syndrome." We do not know the actual number of maltreated children, nor their subdivision into physical and emotional abuse. It is likely that the battered child is the least frequent yet currently the most discussed. This paper will concern itself primarily with the physically abused child. Recently, the problem of maltreatment of children has received much attention. Perhaps part of the recent public interest in this problem has resulted from the dramatic phrase "battered child syndrome," which was first used by Kempe, et al. during a panel discussion at an annual meeting of the American Academy of Pediatrics. But long before the phrase was coined, interest in the problem of multiple injuries had begun. About 20 years ago Caffey described x-ray findings of multiple fractures in the long bones, and a diagnostic tool was developed. Since then the child with multiple injuries indicating new or recent injuries superimposed on old has come under increasing scrutiny, especially in the last three or four years. Later studies by hospital pediatric and x-ray departments added to the earlier reports of "skeletal trauma in infants" which, in turn, have alerted pediatricians, roentgenologists, and other physicians to the possibility of child abuse.


1981 ◽  
Vol 2 (7) ◽  
pp. 197-207
Author(s):  
Stephen Bittner ◽  
Eli H. Newberger

When C. Henry Kempe and his colleagues coined the term "battered child syndrome" in 1961, the attention of the American medical community was focused on one of the most dramatic manifestations of family violence. Since then family violence has been perceived as a major social problem, and the eyes of pediatricians have been opened to familial causes of morbidity and mortality. In this paper the term "child abuse" is used to encompass all the symptom indicators of maltreatment of children, including physical injury, physical neglect, sexual abuse, and some ingestions of harmful substances. We address these problems not as discrete illness entities or syndromes, but as symptoms of different issues and risks for particular children in individual families. Kempe noted that notwithstanding a long history of concern with child welfare, the pediatric community ignored the implications of injury and neglect of children because of a "process of denial that was unequal to anything ... previously seen in pediatrics." This denial continues today in spite of an increasing and visible literature on child abuse. The task of this paper is to summarize current knowledge about the causes, differential diagnoses, and management of child abuse in a fashion accessible to pediatricians and members of the colleague disciplines.


PEDIATRICS ◽  
1966 ◽  
Vol 38 (6) ◽  
pp. 1078-1078
Author(s):  
VINCENT J. FONTANA

The letters in Pediatrics by Dr. Harry Bloch (Pediatrics, 37:856, 1966) and Dr. Isaacson (Pediatrics, 38:523, 1966) certainly express the feelings of many physicians, particularly pediatricians who have been interested in the problem of child abuse and neglect. The term "battered child," as coined by Kempe (J.A.M.A., 181:17, 1962), has surely served its purpose by bringing this all-important disease entity to the attention of the physician. Prior to his report the medical literature failed to give proper attention and recognition to the fact that children were being maltreated and battered by their own parents.


PEDIATRICS ◽  
1985 ◽  
Vol 76 (6) ◽  
pp. 993-997
Author(s):  
RAY E. HELFER

On March 30, 1984, I was given the privilege of delivering the introductory speech at the first American Medical Association (AMA) meeting exclusively for child abuse and neglect. Although one might wonder why 22 years lapsed between the Journal of the American Medical Association (JAMA) publication of the milestone article by Henry Kempe1 and the first meeting, the fact remains that the AMA is now paying attention to the needs of abused children and their families. My talk at this conference came just 3 weeks after the death of Henry Kempe, some 20 years almost to the date when he asked if I would like to be involved with his study of the battered child syndrome.


Author(s):  
Sabana Shaikh ◽  
Rubena Ali Malik

It is the duty of every healthcare professional to ensure they prioritise the welfare of a child by protecting them from physical or psychological harm. Forms of child abuse include physical abuse, emotional abuse, sexual abuse and neglect. A child subjected to emotional abuse or neglect can present with ambiguous symptoms, making the abuse difficult to detect. Safeguarding concerns must be acted upon according to local procedures, guided by the child safeguarding lead and the practice safeguarding policy. Safeguarding multidisciplinary meetings can be an effective way of communicating with various professionals involved with the family.


PEDIATRICS ◽  
1970 ◽  
Vol 45 (5) ◽  
pp. 894-895
Author(s):  
Jacob Brem

A good deal of literature on child abuse has accumulated since Kempe and his group first described the "Battered Child Syndrome."1 Enlightened laws have been passed in the various states and management transferred from the police into the hands of social agencies. Furthermore, the reporting physician was protected from libel. However, at the grass root level, conditions are far from ideal. Physicians are unfamiliar with the various laws and are reluctant to report for fear of getting involved in unpleasant situations.


PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 330-330
Author(s):  
Rowland L. Mindlin ◽  
William M. Palmer

The Committee on Infant and Preschool Child and its Subcommittee on Child Abuse have received a number of requests for recommendations on the roentgenograms that should be taken routinely on a child suspected of being physically abused. We have consulted, among others, Frederic N. Silverman, M.D., a pediatric radiologist and a co-author with C. Henry Kempe, M.D., of the landmark article1 in which the term "battered child syndrome" was coined. We would like to bring Dr. Silverman's clear and reasoned response to the attention of all pediatricians, indeed to all physicians encountering children who may have been abused.


PEDIATRICS ◽  
1992 ◽  
Vol 89 (5) ◽  
pp. 898-901
Author(s):  
Alan Frechette ◽  
Mary Ellen Rimsza

Stun guns are self-protection devices that are increasingly available with few restrictions on their use and sale. We present a case of child abuse with a stun gun. The signs of such abuse are often subtle, and they may be underrecognized currently. The skin lesions that are often seen are hypopigmented circular macules, measuring approximately 0.5 cm in diameter. They may be raised slightly and erythematous if inflicted recently. Most characteristic of stun gun assault is pairing of lesions approximately 5 cm apart. We discuss the design, operation, and effects of stun guns, and give an extensive differential of abusive and nonabusive circular lesions.


2011 ◽  
Vol 152 (12) ◽  
pp. 485-488
Author(s):  
Zoltán Papp

The paper presents the case of a 15-year-old child suffering from battered child syndrome, who was operated on with the presumed diagnosis of acute appendicitis. On the course of the operation the injury and hematoma of the mesentery of the small bowel was discovered, along with retroperitoneal hematoma and blood in the abdominal cavity. Consecutive investigation revealed a child abuse lasting for at least 3 years. Lessons of the case were the misleading symptoms of the serious intraabdominal injuries, caused by life-threatening maltreatment of the child, which eventually led to the false diagnosis of appendicitis. The case has a moral message towards society as well: we need to pay attention on the surrounding world and act against aggression. Orv. Hetil., 2011, 152, 485–488.


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