Recognizing non-accidental Injury by physical child abuse


Drs. Meindert E. Manshande


Seminar - Oral Presentation


25 August 2018


Recognizing non-accidental Injury by physical child abuse


Child abuse is one of the major public health challenges for all health care workers, including pediatricians. Child abuse is not always obvious and many children are too young or too scared to communicate to others on what is happening to them. The identification of suspected abuse is urgently required, not only to treat the current condition, but also to protect the child from a subsequent, perhaps more serious, injury.
Physical child abuse is physical injury inflicted upon the child with cruel and/or malicious intent. Physical abuse can be the result of punching, beating, kicking, biting, burning, shaking, or otherwise harming a child physically.
It can be difficult to differentiate accidental trauma from physical child abuse. For example, bruising in children may be a common and often benign form of trauma that does not require investigation or intervention. However, bruising in infants is rare, and in children who have been physically abused this is the most common injury seen. Distinguishing accidental from inflicted trauma requires recognizing injuries that suggest abuse.


This presentation will guide you through some red flags in recognizing physical abuse when dealing with bruises, burns, fractures and brain injury in children.