Bruising and suspected physical abuse

Physical abuse is sadly common in our communities. The topic is emotionally charged but it requires rational documentation of the history leading up to presentation, a thorough and thoughtful physical examination and appropriate investigations. 

Key factors when considering whether a child has been physically abused include the plausibility of the description of how the injury occurred, the presence of multiple suggestive injuries such as retinal haemorrhages and fractures of varying ages, as well