Skip Nav Destination
Child Abuse: Medical Diagnosis and Management (4th Edition)
Edited by
Antoinette Laskey, MD, MPH, MBA, FAAP;
Antoinette Laskey, MD, MPH, MBA, FAAP
Editor
Search for other works by this author on:
Andrew Sirotnak, MD, FAAP
Andrew Sirotnak, MD, FAAP
Editor
Search for other works by this author on:
American Academy of Pediatrics
ISBN electronic:
978-1-61002-359-7
ISBN print:
978-1-61002-358-0
Publication date:
October 2019
Thoroughly revised and expanded, the 4th edition offers a practical, objective, evidence-based guide to the medical diagnosis and management of child abuse. Available for purchase at https://shop.aap.org/child-abuse-medical-diagnosis-and-management-4th-ed-paperback/
Child Abuse: Medical Diagnosis and Management
Edited by: Antoinette Laskey, MD, MPH, MBA, FAAP, Andrew Sirotnak, MD, FAAP
https://doi.org/10.1542/9781610023597
ISBN (print): 978-1-61002-358-0
ISBN (electronic): 978-1-61002-359-7
Publisher: American Academy of Pediatrics
Published: 2019
Download citation file:
Table of Contents
-
p1-1
-
Sentinel Injuriesp3-17ByHillary W. Petska, MD, MPH, FAAP;Hillary W. Petska, MD, MPH, FAAPAssistant ProfessorDepartment of Pediatrics, Medical College of Wisconsin, Child Abuse Pediatrician, Child Advocacy and Protection Services, Children’s Hospital of Wisconsin, Milwaukee, WISearch for other works by this author on:Lynn K. Sheets, MD, FAAPLynn K. Sheets, MD, FAAPProfessorDepartment of Pediatrics, Medical College of Wisconsin, Medical Director, Child Advocacy and Protection Services, Children’s Hospital of Wisconsin, Milwaukee, WISearch for other works by this author on:
-
Cutaneous Manifestations of Child Abusep19-45ByAmanda K. Fingarson, DO, FAAP;Amanda K. Fingarson, DO, FAAPChild Abuse Pediatrics Program, Ann and Robert H. Lurie Children’s Hospital of Chicago, Assistant Professor of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, ILSearch for other works by this author on:Mary Clyde Pierce, MD, FAAPMary Clyde Pierce, MD, FAAPChild Abuse Pediatrics Program, Pediatric Emergency Medicine, Ann and Robert H. Lurie Children’s Hospital of Chicago, Professor of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, ILSearch for other works by this author on:
-
Burnsp47-101ByKenneth Feldman, MD, FAAP;Kenneth Feldman, MD, FAAPClinical Professor of PediatricsUniversity of Washington, Children’s Protection Program, Seattle Children’s Hospital, Seattle, WASearch for other works by this author on:James Metz, MD, MPH, FAAPJames Metz, MD, MPH, FAAPAssistant ProfessorDepartment of Pediatrics, University of Vermont, Larner College of Medicine, Division of General Pediatrics, ChildSafe Program, University of Vermont Children’s Hospital, Burlington, VTSearch for other works by this author on:
-
Skeletal Manifestations of Child Abusep103-137BySuzanne B. Haney, MD, FAAP;Suzanne B. Haney, MD, FAAPAssistant Professor of PediatricsUniversity of Nebraska Medical Center, Children’s Hospital and Medical Center, Omaha, NESearch for other works by this author on:Susan A. Scherl, MD, FAAPSusan A. Scherl, MD, FAAPProfessorDepartment of Orthopaedics, University of Nebraska Medical Center, Attending Physician, Section of Pediatric Orthopaedics, Children’s Hospital and Medical Center, Omaha, NESearch for other works by this author on:
-
Visceral Manifestations of Child Abusep139-165ByM. Katherine Henry, MD, MSCE, FAAP;M. Katherine Henry, MD, MSCE, FAAPFellowDepartment of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Safe Place: The Center for Child Protection and Health, Division of General Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, PASearch for other works by this author on:Daniel M. Lindberg, MDDaniel M. Lindberg, MDAssociate ProfessorDepartment of Emergency Medicine, Department of Pediatrics, University of Colorado School of Medicine, Attending Physician, Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, Children’s Hospital Colorado, Aurora, COSearch for other works by this author on:
-
Maxillofacial, Neck, and Dental Manifestations of Child Abusep167-197ByRyan Brown, MD, FAAP;Ryan Brown, MD, FAAPClinical Associate ProfessorDepartment of Pediatrics, The University of Oklahoma College of Medicine, Medical Director, Child Protection Team, The Children’s Hospital at OU Medical Center, Oklahoma City, OKSearch for other works by this author on:Larissa Hines, MD, FAAPLarissa Hines, MD, FAAPChild Protection and Family Health, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UTSearch for other works by this author on:
-
Abusive Head Traumap199-284ByStephen C. Boos, MD, FAAP;Stephen C. Boos, MD, FAAPAssociate Professor of PediatricsUniversity of Massachusetts Medical School-Baystate, Springfield, MAAdjunct Associate Professor of Pediatrics, Tufts University School of Medicine, Boston, MASearch for other works by this author on:Mark S. Dias, MD, FAAP, FAANSMark S. Dias, MD, FAAP, FAANSProfessor of Neurosurgery and PediatricsPenn State College of Medicine, Penn State Health Children’s Hospital, Hershey, PASearch for other works by this author on:
-
Ocular Manifestations of Child Abusep285-306ByBrooke D. Saffren, OMS-IV;Brooke D. Saffren, OMS-IVPhiladelphia College of Osteopathic Medicine, Philadelphia, PASearch for other works by this author on:Yair Morad, MD;Yair Morad, MDDepartment of Ophthalmology, Assaf Harofeh Medical Center, Tel Aviv University, Tel Aviv, IsraelSearch for other works by this author on:Alex V. Levin, MD, MHSc, FRCSC, FAAP, FAAOAlex V. Levin, MD, MHSc, FRCSC, FAAP, FAAOChief, Pediatric Ophthalmology and Ocular Genetics, Wills Eye Hospital, Philadelphia, PASearch for other works by this author on:
-
-
p307-307
-
Taking Forensically Sound Histories in Cases of Alleged Sexual Abusep309-325ByJenna Spagnuolo, DCFI;Jenna Spagnuolo, DCFIForensic Interviewer SupervisorChild Abuse Program, Children’s Hospital of The King’s Daughters, Norfolk, VASearch for other works by this author on:Suzanne P. Starling, MD, FAAPSuzanne P. Starling, MD, FAAPMedical DirectorChadwick Center for Children & Families, Rady Children’s Hospital of San Diego, Clinical Professor of Pediatrics, University of California San Diego, San Diego, CASearch for other works by this author on:
-
Medical Evaluation of Suspected Sexual Abuse in Prepubertal Childrenp327-381ByMolly Curtin Berkoff, MD, FAAP;Molly Curtin Berkoff, MD, FAAPAssociate Professor of PediatricsDivision of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NCSearch for other works by this author on:Martin A. Finkel, DO, FACOP, FAAPMartin A. Finkel, DO, FACOP, FAAPProfessor of Pediatrics, Institute CodirectorChild Abuse Research Education & Service (CARES) Institute, School of Osteopathic Medicine, Rowan University, Stratford, NJSearch for other works by this author on:
-
Medical Management of the Adolescent Who Has Experienced Sexual Abuse or Assaultp383-414BySarah A. W. Northrop, MD, FAAP;Sarah A. W. Northrop, MD, FAAPDepartment of Pediatrics, Brenner Children’s Hospital, Assistant Professor of Pediatrics, Wake Forest School of Medicine, Wake Forest Baptist Health, Winston-Salem, NCSearch for other works by this author on:Shalon M. Nienow, MD, FAAPShalon M. Nienow, MD, FAAPMedical Clinic DirectorChadwick Center for Children and Families, Rady Children’s Hospital-San Diego, Clinical Assistant Professor, Division of Pediatric Emergency Medicine, University of California San Diego, San Diego, CASearch for other works by this author on:
-
Sexually Transmitted Infections in Child Sexual Abusep415-456ByAllan R. De Jong, MD, FAAP;Allan R. De Jong, MD, FAAPMedical DirectorChildren at Risk Evaluation (CARE) Program, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DESearch for other works by this author on:Stephanie A. Deutsch, MD, FAAPStephanie A. Deutsch, MD, FAAPCo-Medical DirectorChildren at Risk Evaluation (CARE) Program, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DESearch for other works by this author on:
-
The Role of Forensic Materials in Sexual Abuse and Assaultp457-473ByKathi Makoroff, MD, MEd, FAAP;Kathi Makoroff, MD, MEd, FAAPMayerson Center for Safe and Healthy Children, Cincinnati Children’s Hospital Medical Center, Associate Professor, University of Cincinnati College of Medicine, Cincinnati, OHSearch for other works by this author on:Jonathan Thackeray, MD, FAAP;Jonathan Thackeray, MD, FAAPChief Medical Community Health OfficerDepartment of Medical Affairs, Dayton Children’s Hospital, Professor and Vice Chair, Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OHSearch for other works by this author on:Elizabeth Benzinger, PhDElizabeth Benzinger, PhDOhio Bureau of Criminal Investigation, London, OHSearch for other works by this author on:
-
-
p475-475
-
Environmental Neglect and Social Determinants of Healthp477-497ByWendy G. Lane, MD, MPH, FAAP;Wendy G. Lane, MD, MPH, FAAPClinical Associate ProfessorDepartment of Epidemiology and Public Health, Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MDSearch for other works by this author on:Howard Dubowitz, MD, MS, FAAPHoward Dubowitz, MD, MS, FAAPProfessorDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, MDSearch for other works by this author on:
-
Supervisory Neglectp499-525ByFrançois M. Luyet, MD;François M. Luyet, MDClinical Assistant Professor of PediatricsUniversity of Wisconsin School of Medicine and Public Health, University of Wisconsin Child Protection Program, University of Wisconsin American Family Children’s Hospital, Madison, WISearch for other works by this author on:Barbara L. Knox, MD, FAAPBarbara L. Knox, MD, FAAPProfessor of PediatricsUniversity of Wisconsin School of Medicine and Public Health, Medical Director, University of Wisconsin Child Protection Program, University of Wisconsin American Family Children’s Hospital, Madison, WISearch for other works by this author on:
-
Drug-Endangered Childrenp527-563ByKaren Farst, MD, MPH, FAAP;Karen Farst, MD, MPH, FAAPAssociate Professor and Section Chief for Children at RiskDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, ARSearch for other works by this author on:Kathryn Wells, MD, FAAPKathryn Wells, MD, FAAPAssociate Professor and Section Head for Child Abuse and NeglectDepartment of Pediatrics, University of Colorado School of Medicine, Aurora, COSearch for other works by this author on:
-
Failure to Thrivep565-622BySarah Passmore, DO, FAAP;Sarah Passmore, DO, FAAPDepartment of Pediatrics, University of Oklahoma, Tulsa, OKSearch for other works by this author on:Deborah Lowen, MD, FAAPDeborah Lowen, MD, FAAPAssociate Professor of PediatricsVanderbilt University School of Medicine, Director, Center for Child Protection & Well-Being, Vanderbilt University Medical Center, Nashville, TNSearch for other works by this author on:
-
Medical Neglect and Obesityp623-652ByEmily Killough, MD, FAAP;Emily Killough, MD, FAAPChild Abuse PediatricianDivision of Child Adversity and Resilience, Children’s Mercy Kansas City, Assistant Professor of Pediatrics, Division of Child Abuse and Neglect, UMKC School of Medicine, Kansas City, MOSearch for other works by this author on:Brooke Sweeney, MD, FAAP;Brooke Sweeney, MD, FAAPMedical DirectorWeight Management Services, Children’s Mercy Kansas City, Clinical Assistant Professor of Pediatrics, UMKC School of Medicine, Kansas City, MOSearch for other works by this author on:Sarah E. Hampl, MD, FAAP;Sarah E. Hampl, MD, FAAPGeneral Pediatrics and Weight Management, Center for Children’s Healthy Lifestyles and Nutrition, Children’s Mercy Kansas City, Professor of Pediatrics, UMKC School of Medicine, Kansas City, MOSearch for other works by this author on:Amy R. Beck, PhDAmy R. Beck, PhDWeight Management Program, Center for Children’s Healthy Lifestyles and Nutrition, Children’s Mercy Kansas City, Associate Professor of Pediatrics, UMKC School of Medicine, Kansas City, MOSearch for other works by this author on:
-
-
p653-653
-
Psychological Maltreatmentp655-671ByShelly D. Martin, MD;Shelly D. Martin, MDChild Abuse Pediatrician, Associate Clinical Professor of PediatricsBrooke Army Medical Center, San Antonio, TXUniformed Services University of the Health Sciences, Bethesda, MDSearch for other works by this author on:Katherine Snyder, MD, MPH, FAAPKatherine Snyder, MD, MPH, FAAPDepartment of Pediatrics, Dell Medical School, University of Texas at Austin, Austin, TXSearch for other works by this author on:
-
Medical Child Abusep673-701ByPaige Culotta, MD, FAAP;Paige Culotta, MD, FAAPChild Abuse PediatricianChildren’s Hospital of New Orleans, Audrey Hepburn CARE Center, New Orleans, LASearch for other works by this author on:Jonathan Thackeray, MD, FAAPJonathan Thackeray, MD, FAAPChief Medical Community Health OfficerDepartment of Medical Affairs, Dayton Children’s Hospital, Professor and Vice Chair, Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OHSearch for other works by this author on:
-
Interpersonal Violencep703-723ByTara L. Harris, MD, MS, FAAPTara L. Harris, MD, MS, FAAPAssistant Professor of Clinical PediatricsDivision of Child Protection Programs, Department of Pediatrics, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, INSearch for other works by this author on:
-
Human Trafficking and Sexual Exploitation via Electronic Mediap725-761ByJordan Greenbaum, MD;Jordan Greenbaum, MDInstitute on Healthcare and Human Trafficking at the Stephanie V. Blank, Center for Safe and Healthy Children, Children’s Healthcare of Atlanta, Atlanta, GAInternational Centre for Missing and Exploited Children, Alexandria, VASearch for other works by this author on:Corey J. Rood, MD, FAAPCorey J. Rood, MD, FAAPAssistant Professor of Pediatrics, Child Abuse Pediatrician, Medical DirectorChild Abuse Pediatrics, University of California Irvine, Orange, CAChild Abuse and Prevention Team, Miller Children’s and Women’s Hospital, Long Beach, CASearch for other works by this author on:
-
-
p763-763
-
Pathology of Fatal Abusep765-820ByMary Case, MDMary Case, MDProfessorDepartment of Pathology, St Louis University Health Sciences Center, St Louis, MOSearch for other works by this author on:
-
SIDS, SUID, and the Child Fatality Review Team Approach to Unexpected Infant Deathp821-858ByVincent J. Palusci, MD, MS, FAAP;Vincent J. Palusci, MD, MS, FAAPProfessor of PediatricsNew York University School of Medicine, New York, NYSearch for other works by this author on:Theresa M. Covington, MPH;Theresa M. Covington, MPHDirector, Within Our ReachAlliance for Strong Families and Communities, Washington, DCSearch for other works by this author on:Patricia G. Schnitzer, MS, PhDPatricia G. Schnitzer, MS, PhDNational Center for Fatality Review and Prevention, Washington, DCSearch for other works by this author on:
-
-
-
Photodocumentationp861-873ByJohn D. Melville, MD, MS, FAAPJohn D. Melville, MD, MS, FAAPAssociate Professor of PediatricsMedical University of South Carolina, Charleston, SCSearch for other works by this author on:
-
Reporting Abuse, Managing Uncertainty, and Other Legal Issuesp875-920BySandeep K. Narang, MD, JD, FAAP;Sandeep K. Narang, MD, JD, FAAPAssociate Professor of PediatricsNorthwestern University Feinberg School of Medicine, Division Head, Child Abuse Pediatrics, Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago, ILSearch for other works by this author on:Kristine Campbell, MD, MSc, FAAP;Kristine Campbell, MD, MSc, FAAPAssociate ProfessorDivision of Child Protection and Family Health, Department of Pediatrics, University of Utah School of Medicine, Primary Children’s Hospital Center for Safe and Healthy Families, Salt Lake City, UTSearch for other works by this author on:Kirsten Simonton, MD, FAAPKirsten Simonton, MD, FAAPAssistant Professor of PediatricsNorthwestern University Feinberg School of Medicine, Attending Physician, Division of Child Abuse Pediatrics, Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago, ILSearch for other works by this author on:
-
Caring for Those Who Care: Vicarious Trauma and Burnoutp921-939ByAntonia Chiesa, MD;Antonia Chiesa, MDUniversity of Colorado School of Medicine, Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, Children’s Hospital Colorado, Aurora, COSearch for other works by this author on:Sasha Svendsen, MD, FAAPSasha Svendsen, MD, FAAPUMass Memorial Children’s Medical Center, Westborough, MAUniversity of Massachusetts Medical School, Worcester, MASearch for other works by this author on:
-
-
p941-941
-
Caring for Children in Out-of-Home Carep943-985ByHeather Forkey, MD, FAAP;Heather Forkey, MD, FAAPAssociate ProfessorDepartment of Pediatrics, University of Massachusetts Medical School, Worcester, MASearch for other works by this author on:Wynne Morgan, MDWynne Morgan, MDAssistant ProfessorDepartment of Psychiatry, University of Massachusetts Medical School, Worcester, MASearch for other works by this author on:
-
Medical and Psychological Sequelae of Child Abuse and Neglectp987-1018ByMary E. Moffatt, MD, FAAPMary E. Moffatt, MD, FAAPUniversity of Missouri Kansas City School of Medicine, Department of Pediatrics, Children’s Mercy Hospital, Kansas City, Kansas City, MOSearch for other works by this author on:
-
Neurobiological Consequences of Childhood Maltreatmentp1019-1057ByEmma Jane Rose, PhD;Emma Jane Rose, PhDAssistant Research Professor, Associate DirectorProgram for Translational Research on Adversity and Neurodevelopment, Edna Bennett Pierce Prevention Research Center, The Center for Healthy Children, The Pennsylvania State University, University Park, PASearch for other works by this author on:Diana H. Fishbein, PhDDiana H. Fishbein, PhDDirectorProgram for Translational Research on Adversity and Neurodevelopment, Edna Bennett Pierce Prevention Research Center, Professor, Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PASearch for other works by this author on:
-
Trauma-Informed Care and Treatmentp1059-1089ByBrooks Keeshin, MD, FAAP;Brooks Keeshin, MD, FAAPAssistant ProfessorDepartment of Pediatrics, University of Utah, Salt Lake City, UTSearch for other works by this author on:Lindsay Dianne Shepard, LCSW, MSW, MSC;Lindsay Dianne Shepard, LCSW, MSW, MSCProgram Manager, TherapistDepartment of Pediatrics, University of UtahCenter for Safe and Healthy Families, Primary Children’s Hospital, Salt Lake City, UTSearch for other works by this author on:Kara Byrne, PhDKara Byrne, PhDAssistant Research ProfessorCollege of Social Work, University of Utah, Salt Lake City, UTSearch for other works by this author on:
-
-
p1091-1091
-
Identification of Child Maltreatmentp1093-1109ByJill McTavish, PhD;Jill McTavish, PhDPostdoctoral FellowDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, CanadaSearch for other works by this author on:Harriet MacMillan, CM, MD, MSc, FRCPC, FAAPHarriet MacMillan, CM, MD, MSc, FRCPC, FAAPDistinguished University ProfessorDepartment of Psychiatry and Behavioural Neurosciences, Department of Pediatrics, Chedoke Health Chair in Child Psychiatry, Offord Centre for Child Studies, McMaster University, McMaster Children’s Hospital/Hamilton Health Sciences, Hamilton, Ontario, CanadaSearch for other works by this author on:
-
Evidence-based Child Abuse and Neglect Prevention Programsp1111-1128ByLisa Spector, MD, FAAPLisa Spector, MD, FAAPProfessor of PediatricsUniversity of Central Florida, Division Chief of Developmental and Behavioral Pediatrics, Nemours Children’s Hospital, Orlando, FLSearch for other works by this author on:
-
Creating Change Through Advocacyp1129-1139ByJames G. Pawelski, MSJames G. Pawelski, MSDirectorState Advocacy, American Academy of Pediatrics, Itasca, ILSearch for other works by this author on:
-