Image quality can vary significantly which can affect diagnostic accuracy. The most advanced scanner-software combinations produce images that look like the newest high definition TV, but others might look like an old fuzzy TV set from the…
Radiologists make mistakes just like everyone else; radiologists can misinterpret findings or miss them altogether, most commonly nasal bone fractures and soft tissue contusions seen on head CT for assault. Aside from inherent differences in opinion, the…
Radiologist’s reports are interpretations and opinions of imaging exams, not objective results like laboratory tests. The report is ideally performed in conjunction with clinical history, physical exam, and laboratory results, but even given perfect conditions radiologists may disagree…
Findings that raise suspicion for abuse include malnutrition or neglect and injuries to the skin such as bruising, traumatic lesions, and abnormalities of the head and/or body. In the American Academy of Pediatrics’ Policy on…
Three common autopsy findings in the pathophysiology of Sudden Infant Death Syndrome are unclotted blood in the heart, intrathoracic petechiae (small red spots inside the thoracic cavity caused by bleeding), and fluid-filled heavier organs. Other findings…
Sudden Infant Death Syndrome is typically associated with a period of sleep, and in most cases no signs of distress are apparent. Some of the causes of SIDS include low birth weight, recent respiratory infection, side…
The sudden, unexpected and unexplained death of a seemingly healthy infant under one year of age is known as SIDS. The age at peak incidence is 2-4 months, with 90% of cases being less than…
Munchausen’s Syndrome is considered a form of medical child abuse in terms of physical abuse and medical neglect. This type of abuse is considered to be pre-meditated. Medical providers are considered a mandatory reporting entity,…
What the Caregiver Might Do to Mimic Illness in the Child: Adding chemicals to the child’s urine or stool Withhold food so the child looks like they are anorexic Make up lab results to be…
According to the literature, boys and girls are equally victimized in Munchausen’s Syndrome, and 77% to 90% of the time, the perpetrator is the child’s biological mother. In addition, 29% of perpetrators have symptoms of…
Munchausen Syndrome by Proxy was first described in 1951 by a British physician, but it was not until 1977 that the condition was labeled “Munchausen Syndrome by Proxy” by pediatrician Roy Meadow. The syndrome was…
Avoidant Personality Disorder The symptoms of avoidant personality disorder are similar to social phobia except that in the personality disorder the avoidance is present in all social situations. Social phobia symptoms are usually more specific…
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