0
April 1996, Vol 150, No. 4 >
Article | April 1996

Picture of the Month FREE

Howard Fischer, MD; Pamela Hammel, DDS; David Allasio, MSW; Walter W. Tunnessen, MD
Arch Pediatr Adolesc Med. 1996;150(4):429-430. doi:10.1001/archpedi.1996.02170290095016.
Text Size: A A A
Published online
Article
References
Comments

A 3-MONTH-OLD infant with poor weight gain (weight at presentation only 570 g greater than birth weight) was noted to have skin lesions on both hands and feet (Figure 1 through Figure 3). No explanation for the lesions was initially offered by the mother. Later, she suggested that they may have resulted from scratches from a ring.

Denouement and Discussion 

Human Bite Marks  Unexplained injuries occurring in children should arouse suspicion of possible abuse. When a caretaker's explanation of injuries changes, the suspicion of abuse should be reinforced. Human bite marks rarely occur accidentally and are good indicators of inflicted injury.1 Bite marks found on infants may represent punishment for crying or soiling. Older children may be bitten in the context of physical assault or during sexual abuse.A human bite mark has a parabolic shape reflecting the shape of the human dental arch.1 No single tooth's impression

REFERENCES

1 +
Bernat JE.  Dental trauma and bite mark evaluation . In: Ludwig S, Kornberg AE, eds. Child Abuse: A Medical Reference . 2nd ed. New York, NY: Churchill Livingstone; 1992;:175-190.
2 +
Schmitt BD.  The child with nonaccidental trauma . In: Heifer RE, Kempe RS, eds. The Battered Child . 4th ed. Chicago, Ill: University of Chicago Press; 1987;: 178-196.
3 +
Wissow LS. Child Advocacy for the Clinician . Baltimore, Md: Williams & Wilkins; 1990;:55-57.
4 +
Averill DC, ed. Manual of Forensic Odontology . 2nd ed. Colorado Springs, Colo: American Academy of Forensic Sciences; 1991;:176-191.

Figures

Tables

Interactive Graphics

Video

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 +
Bernat JE.  Dental trauma and bite mark evaluation . In: Ludwig S, Kornberg AE, eds. Child Abuse: A Medical Reference . 2nd ed. New York, NY: Churchill Livingstone; 1992;:175-190.
2 +
Schmitt BD.  The child with nonaccidental trauma . In: Heifer RE, Kempe RS, eds. The Battered Child . 4th ed. Chicago, Ill: University of Chicago Press; 1987;: 178-196.
3 +
Wissow LS. Child Advocacy for the Clinician . Baltimore, Md: Williams & Wilkins; 1990;:55-57.
4 +
Averill DC, ed. Manual of Forensic Odontology . 2nd ed. Colorado Springs, Colo: American Academy of Forensic Sciences; 1991;:176-191.

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems