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ChildAbuse
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> NICE guidelines 2009. Remember child abuse may include physical, emotional and sexual abuse, neglect and fabricated or induced illness. selected features ... In the guidelines there are a large number of features listed which should raise the suspicion of abuse. The full list has not been replicated here (please use the link provided) - we have only picked selected features. ''Neglect'' ''Features where you should consider abuse'' Severe and persistent infestations (e.g. Scabies or head lice) Parents who do not administer essential prescribed treatment Parents who persistently fail to obtain treatment for tooth decay Parents who repeatedly fail to attend essential follow-up appointments Parents who persistently fail to engage with child health promotion Failure to dress the child in suitable clothing Animal bite on an inadequately supervised child ''Features where you should suspect abuse'' Failure to seek medical advice which compromises the child's health Child who is persistently smelly and dirty Repeat observations that: poor standards of hygiene that affects the child's health, inadequate provision of food, living environment that is unsafe for the child's development stage ''Sexual abuse'' ''Features where you should consider abuse'' Persistent dysuria or anogenital discomfort without a medical explanation Gaping anus in a child during examination without a medical explanation Pregnancy in a young women aged 13-15 years Hepatitis B or anogenital warts in a child 13-15 years ''Features where you should suspect abuse'' Persistent or recurrent genital or anal symptoms associated with a behavioural or emotional change Anal fissure when constipation and Crohn's disease have been excluded as the cause STI in a child younger than 12 years (where there is no evidence of vertical or blood transmission) Sexualised behaviour in a pre-pubertal child ''Physical abuse'' ''Features where you should consider abuse'' Any serious or unusual injury with an absent or unsuitable explanation Cold injuries in a child with no medical explanation Hypothermia in a child without a suitable explanation Oral injury in a child with an absent or suitable explanation ''Features where you should suspect abuse'' Bruising, lacerations or burns in a child who is not independently mobile or where there is an absent or unsuitable explanation Human bite mark not by a young child One or more fractures if there is an unsuitable explanation, including: fractures of different ages, X-ray evidence of occult fractures Retinal haemorrhages with no adequate explanation
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