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March 1990, Vol 144, No. 3 >
Article | March 1990

Medical Evaluation of Abused and Neglected Children FREE

Emalee Gottbrath Flaherty, MD; Howard Weiss, MD
[+] Author Affiliations

Accepted for publication October 10, 1989.

Reprint requests to the Department of Pediatrics, Columbus Hospital, 2520 N Lakeview, Chicago, IL 60614 (Dr Flaherty).


Am J Dis Child. 1990;144(3):330-334. doi:10.1001/archpedi.1990.02150270080030.
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• Children who have been abused and neglected may have a variety of medical problems not apparent to a social worker or other nonmedical professional investigating the allegations. A joint project between a state child protective agency and an urban teaching hospital was undertaken to provide for the systematic medical screening of all children brought to the agency before their placement in foster care. These children received a complete medical evaluation with emphasis on documenting the abuse and neglect and also were screened for other medical problems. A total of 5181 children were evaluated. Forty-four percent of these children had some medical problem, including anemia, otitis media, sexually transmitted infections, and lead poisoning. Additional instances of abuse and neglect were identified and documented. This systematic evaluation allows for the optimal identification, documentation, and treatment of abuse, neglect, and other medical problems that may affect a child's outcome and adaptation.

(AJDC. 1990;144:330-334)

REFERENCES

1 +
Study of the National Incidence and Prevalence of Child Abuse and Neglect . Washington, DC; National Clearinghouse on Child Abuse and Neglect Information, US Department of Health and Human Services; 1988;.
2 +
Child Abuse and Neglect Statistics Annual Report-Fiscal Year 1987 . Springfield, Ill: Illinois Department of Children and Family Services; (June) 1988;.
3 +
Sterne GG, Haberkern RC, Paxter J.  Health care of foster children american academy of pediatrics committee on early childhood, adoption and dependent care . Pediatrics . 1987;;79:644-646.
4 +
Frankenberg WK, Dodds JB, Fandal AW. Denver Developmental Screening Test . Circle Pines, Minn: American Guidance Service; 1970;.
5 +
Beery KE, Buktenica NA. Developmental Test of Visual Motor Integration . Chicago, Ill: Follett Publishing Co.
6 +
Brazelton TB. Neonatal Assessment Scale . Philadelphia, Pa: JB Lippincott; 1973;.
7 +
Milani-Comparetti A. Developmental Prognosis . Omaha, Neb: Meyer Children's Rehabilitation Institute, University of Nebraska Medical Center; 1979;.
8 +
Dunn LM. Peabody Picture Vocabulary Test . Minneapolis, Minn: American Guidance Service; 1981;.
9 +
Zimmerman I. Psychological Corporation . Columbus, Ohio: Charles E. Merrill Publishing Co; 1979;.
10 +
Burras OK, ed. Mental Measurements Yearbook . 8th ed. Highland Park, NJ: Gryphon Press; 1978;.
11 +
Graham JM, Hanson JW, Darby BL.  Independent dysmorphology evaluations at birth and 4 years of age for children exposed to varying amounts of alcohol in utero . Pediatrics . 1988;;81: 772-778.
12 +
Hochstadt NJ, Jaudes PK, Zimo DA.  The medical and psychosocial needs of children entering foster care . Child Abuse Negl . 1987;;11:53-62.
13 +
Yip R, Walsh KM, Goldfarb MG.  Declining prevalence of anemia in childhood in a middle-class setting: a pediatric success story? Pediatrics . 1987;; 80:330-334.
14 +
Marks A, Fisher M.  Health assessment and screening during adolescence . Pediatrics . 1987;;80: 135-158.
15 +
Jaudes PK.  Comparison of radiography and radionuclide bone scanning in the detection of child abuse . Pediatrics . 1984;;73:166-168.
16 +
Halfon N, Klee L.  Health services for California's foster children: current practices and policy recommendations . Pediatrics . 1987;;80:183-191.
17 +
Hochstadt NJ.  How effective is the multidisciplinary approach? A follow-up study . Child Abuse Negl . 1985;;9:365-372.
18 +
Schor EL.  The foster care system and health status of foster children . Pediatrics . 1982;;69:521-527.
19 +
Moffatt ME, Peddie M, Stulginskas J.  Health care delivery to foster children: a study . Health Soc Work . 1985;;10:129-137.
20 +
Swire MR, Kavaler F.  Health supervision of children in foster care . Child Welfare . 1978;;57:563-569.
21 +
Schor EL.  Health care supervision of foster children . Child Welfare . 1981;;60:313-319.

Figures

Tables

Interactive Graphics

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Study of the National Incidence and Prevalence of Child Abuse and Neglect . Washington, DC; National Clearinghouse on Child Abuse and Neglect Information, US Department of Health and Human Services; 1988;.
2 +
Child Abuse and Neglect Statistics Annual Report-Fiscal Year 1987 . Springfield, Ill: Illinois Department of Children and Family Services; (June) 1988;.
3 +
Sterne GG, Haberkern RC, Paxter J.  Health care of foster children american academy of pediatrics committee on early childhood, adoption and dependent care . Pediatrics . 1987;;79:644-646.
4 +
Frankenberg WK, Dodds JB, Fandal AW. Denver Developmental Screening Test . Circle Pines, Minn: American Guidance Service; 1970;.
5 +
Beery KE, Buktenica NA. Developmental Test of Visual Motor Integration . Chicago, Ill: Follett Publishing Co.
6 +
Brazelton TB. Neonatal Assessment Scale . Philadelphia, Pa: JB Lippincott; 1973;.
7 +
Milani-Comparetti A. Developmental Prognosis . Omaha, Neb: Meyer Children's Rehabilitation Institute, University of Nebraska Medical Center; 1979;.
8 +
Dunn LM. Peabody Picture Vocabulary Test . Minneapolis, Minn: American Guidance Service; 1981;.
9 +
Zimmerman I. Psychological Corporation . Columbus, Ohio: Charles E. Merrill Publishing Co; 1979;.
10 +
Burras OK, ed. Mental Measurements Yearbook . 8th ed. Highland Park, NJ: Gryphon Press; 1978;.
11 +
Graham JM, Hanson JW, Darby BL.  Independent dysmorphology evaluations at birth and 4 years of age for children exposed to varying amounts of alcohol in utero . Pediatrics . 1988;;81: 772-778.
12 +
Hochstadt NJ, Jaudes PK, Zimo DA.  The medical and psychosocial needs of children entering foster care . Child Abuse Negl . 1987;;11:53-62.
13 +
Yip R, Walsh KM, Goldfarb MG.  Declining prevalence of anemia in childhood in a middle-class setting: a pediatric success story? Pediatrics . 1987;; 80:330-334.
14 +
Marks A, Fisher M.  Health assessment and screening during adolescence . Pediatrics . 1987;;80: 135-158.
15 +
Jaudes PK.  Comparison of radiography and radionuclide bone scanning in the detection of child abuse . Pediatrics . 1984;;73:166-168.
16 +
Halfon N, Klee L.  Health services for California's foster children: current practices and policy recommendations . Pediatrics . 1987;;80:183-191.
17 +
Hochstadt NJ.  How effective is the multidisciplinary approach? A follow-up study . Child Abuse Negl . 1985;;9:365-372.
18 +
Schor EL.  The foster care system and health status of foster children . Pediatrics . 1982;;69:521-527.
19 +
Moffatt ME, Peddie M, Stulginskas J.  Health care delivery to foster children: a study . Health Soc Work . 1985;;10:129-137.
20 +
Swire MR, Kavaler F.  Health supervision of children in foster care . Child Welfare . 1978;;57:563-569.
21 +
Schor EL.  Health care supervision of foster children . Child Welfare . 1981;;60:313-319.

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