How well can doctors diagnose child abuse from bone fractures?
Physicians often misdiagnose bone fractures caused by child abuse as accidental breaks, particularly if the child is male and the doctor is not a pediatrician, a new study found.
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Friday, December 11, 2009
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2 comments:
They still diagnose Non Accidental Injury in many cases in the UK.
In mild cases of OI brittle bone disease Xrays appear to look normal,as well as full skeletal surveys.
Classic signs of the disease like blue sclera to the whites of the eyes,and small in stature,and other symptoms are totally disregarded.
They didn't assess the false positive reports of abuse: they're hitting a 90+ percentage at two visits, but how cases do they refer where they misdiagnose abuse when it didn't occur? This second issue is far worse than the first: misreporting a non-abuse case results in severe injury to the child and parent; miss a single incidence of abuse and they still have a chance to fix if it is seen again and a single incidence of abuse may not need services.
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