Download Cutaneous Manifestations of Child Abuse and Their by Robert A.C. Bilo, Arnold P. Oranje, Tor Shwayder, PDF

By Robert A.C. Bilo, Arnold P. Oranje, Tor Shwayder, Christopher J. Hobbs

ISBN-10: 3642292860

ISBN-13: 9783642292866

ISBN-10: 3642292879

ISBN-13: 9783642292873

The interpretation of pores and skin lesions in youngsters that could be as a result of abuse is frequently now not straight forward, and plenty of reviews were released on dermatological issues and unintentional accidents that have been unjustly considered as indicators of kid abuse. This ebook describes intimately the cutaneous manifestations of the actual abuse of kids and devotes specific recognition to differential prognosis. cautious information is equipped at the optimum evaluate of youngsters featuring with findings in all probability caused by abuse. the varied photos and special historical past details will improve the facility of the reader to evaluate and interpret the medical indicators of abuse, and to tell apart those symptoms from different motives of harm, resembling injuries and self-mutilation, and dermatological problems. "Cutaneous Manifestations of kid Abuse" may be worthy for pediatric dermatologists, pediatricians, forensic specialists, and others who care for the actual abuse of children.

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Additional info for Cutaneous Manifestations of Child Abuse and Their Differential Diagnosis: Blunt Force Trauma

Example text

24: repeating pattern in the object – ca. 4 per 1 cm – possible match Fig. 26 An example of an object which resembles the object in Fig. 25: repeating pattern in the object – ca. 5 per 1 cm – no match injury, mostly bruising, is mirrored by the pattern: a silhouette or outline of the implement on the skin (Figs. 27). The kinetic energy transferred on impact is absorbed mostly by the skin at the periphery of the object. The impact caused by the blow with the object will distort and crush the skin and underlying tissues and rupture subcutaneous vessels (venules and capillaries) in contact with the edges of the object.

The second layer is the dermis which is composed of three types of tissue that are present throughout the dermis: collagen, elastic tissue, and reticular fibers (Brannon 2007). Because of this composition, the dermis is capable of stretching under force and returning to its original form without damage (Kaczor et al. 2006). The dermis is the second skin layer to absorb the energy which is transferred during blunt-force trauma. The dermis is very well vascularized and has an extensive superficial capillary network.

In a physical assault, the action that led to an injury is almost always the result of a conscious decision and therefore intended, but it is almost never the intention of the perpetrator to inflict (serious) injuries. “Inflicted” is a more appropriate term, because it states that the injury was the result of an action by a human being (and perhaps an animal in bitemarks), without saying anything about the intention (to inflict = to give or impose something unpleasant and unwanted, for example, to inflict serious injuries – Kernerman English Multilingual Dictionary, 2010).

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Cutaneous Manifestations of Child Abuse and Their Differential Diagnosis: Blunt Force Trauma by Robert A.C. Bilo, Arnold P. Oranje, Tor Shwayder, Christopher J. Hobbs


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