1st Edition

Diagnosis of Non-accidental Injury Illustrated Clinical Cases

Edited By Vincent J. Palusci, Dena Nazer, Patricia Brennan Copyright 2016
    337 Pages 279 Color Illustrations
    by CRC Press

    Recognition and diagnosis of child abuse and neglect creates an important foundation for the protection of children. Physicians and other healthcare providers have a fundamental role in this process, and need to be confident that they can identify correctly the signs and symptoms that provide clues to non-accidental injuries resulting from child maltreatment.

    Diagnosis of Non-accidental Injury: Illustrated Clinical Cases is an invaluable tool to aid prompt and appropriate diagnosis, presenting various types of findings and challenging the reader with both common and not-so-common manifestations that may result from – or be confused with – child abuse and neglect.

    The book describes various clinical scenarios through a brief clinical history accompanied by high-quality clinical images. Questions focus on the important concepts to be learned from each case. The answers are revealed after a turn of the page, sometimes with additional images to explain critical aspects, and feature a diagnosis, the ‘ruling out’ of abuse or neglect, further diagnostic options where relevant, and helpful treatments.

    Bamboo Marks

    Bilateral Subconjunctival Haemorrhages

    Mongolian Spots

    Genital Burn

    Scalp Burn

    Hymenal Tag

    Anterior Frenum Injury



    Multiple Fractures

    Spiral Fracture

    Head Lice


    Maqua (Therapeutic Burning)

    Sexual Abuse with Normal Exam

    Sentinel Bruises

    Streptococcal Perianal Dermatitis

    Malnutrition, Cord Marks

    Hymenal Transection


    Anal Fissure


    Tibia Fracture and Classic Metaphyseal Lesions

    Osteogenesis Imperfecta

    Multiple Fractures


    Foot Bites

    Thin Hymenal Rim

    Physical Abuse: Comb, Loop and Belt Marks

    Straddle Injury

    Bruises – Elliptical

    Accidental Bruises

    Skull Fracture

    Adolescent Striae

    Bruises and Black Eyes

    Hand Burns

    Suction Marks

    Metabolic Bone Disease Fracture


    Skull Fracture

    Infantile Haemangioma

    Forced Feeding

    Labial Haematoma

    Subconjunctival Haemorrhages

    Buried Penis

    Loop Marks

    Complex Skull Fracture

    Iatrogenic Bruises

    Clitoral Hood Enlargement

    Henoch-Schönlein Purpura

    Pediatric Bite

    Ulna Fracture

    Cigarette Burns

    Fixed Drug Eruption

    Iron Burns

    Whisker Burn


    Garlic Burns

    Acute Anal Trauma

    Cigarette Burns

    Lichen Sclerosus

    Physical Abuse in Siblings

    Rib Fractures

    Prolapsed Urethra

    Vitreous Haemorrhage

    Genital Warts

    Iron Burn


    Moxibustion and Bruises


    Subgaleal Haematoma

    Abdominal Trauma

    Anal Dilation

    Multiple Bruises and Fractures

    Accidental Bruises

    Dermatitis Artefacta

    Femur Fracture

    Anal Laceration

    Healed Bite Mark

    Femur Fracture

    Spider Bite



    Bite Mark

    Immersion Burns

    Urethral Prolapse


    Burns (Coffee)

    Fatal Dog Bite

    Abusive Head Trauma


    Car Seat Unbelted

    Fork Pattern Burns

    Accidental Cephalohaematomas

    Genital Ulcer

    Blunt Trauma

    Stocking Burns

    Rampant Caries

    Humeral Fracture

    Crush Injury

    Rectal Prolapse

    Failure to Thrive

    Drip Burn

    Osteogenesis Imperfecta

    Palatal Injury and Facial Bruises

    Mongolian Spots

    Bite Marks

    Osteopenic Fracture

    Multiple Bruises

    Anal Injury

    Palatal Injury


    Caustic Burns


    Burns and Fractures

    Immersion Burns


    Genital Herpes

    Tibia Fracture

    Mongolian Spots and Bruises

    Crohn’s Disease

    Lichen Sclerosus

    Penile Injury


    Hymenal Septum

    Immersion Burns


    Perianal Crohn’s Disease

    Caustic Burns

    Lichen Sclerosus

    Penile Laceration

    Perinatal Intracranial Haemorrhage

    Anal Venous Distension

    Labial Adhesion

    Sudden Infant Death


    Edited by

    Vincent J. Palusci, MD, MS, FAAP, professor of pediatrics, New York University School of Medicine, New York, USA

    Dena Nazer, MD, FAAP, assistant professor of pediatrics, Wayne State University, Detroit, Michigan, USA

    Patricia Brennan, FRCP, FFAEM, FRCPCH, honorary consultant paediatrician, Children’s Hospital, Western Bank, Sheffield, UK

    "This easy-to-read book helps create a foundation for the diagnosis and treatment of child abuse or neglect through clear and concise case studies… This book does a great job of presenting a variety of case studies accompanied by key images. The information is concise and is appropriately referenced. The book helps engage readers with thought-provoking clinical questions and exposesthem to nonaccidental injuries that are not commonly seen." - Michael G. Meyer, PA-C(Regions Hospital and Level 1 Trauma Center), Doody Enterprises