Evaluating for Suspected Child Abuse: Conditions That Predispose to Bleeding.
Child abuse might be suspected when children present with cutaneous bruising, intracranial hemorrhage, or other manifestations of bleeding. In these cases, it is necessary to consider medical conditions that predispose to easy bleeding or bruising. When evaluating for the possibility of bleeding disorders and other conditions that predispose to hemorrhage, it is important for pediatricians to consider the child's presenting history, medical history, and physical examination findings before initiating a laboratory investigation. Many medical conditions can predispose to easy bleeding. Before ordering laboratory tests for a disease, it is useful to understand the biochemical basis and clinical presentation of the disorder, condition prevalence, and test characteristics. This technical report reviews the major medical conditions that predispose to bruising or bleeding and should be considered when evaluating for abusive injury.
Blood Coagulation Disorders; Child; Child Abuse; Contusions; Diagnosis, Differential; Hemorrhage; Humans
Blood Coagulation Disorders; Child Abuse; Contusions; Differential Diagnosis; Hemorrhage
Carpenter SL, Abshire TC, Killough E, Anderst JD; AAP SECTION ON HEMATOLOGY/ONCOLOGY, THE AMERICAN SOCIETY OF PEDIATRIC HEMATOLOGY AND ONCOLOGY, and the AAP COUNCIL ON CHILD ABUSE AND NEGLECT. Evaluating for Suspected Child Abuse: Conditions That Predispose to Bleeding. Pediatrics. 2022;150(4):e2022059277. doi:10.1542/peds.2022-059277