The genus of the instrument used by looking at the shape of the octode can be said.
Human bites: human bites indicate greatly abuse. It is very easy to jump if not seen before. There are great differences in the places where they are seen in infants. In babies, hips and genitale are made for punishment in near areas. In older children depends on sexual purpose or physical attack. They are usually more than one, with clear-looking or suction traces. The suction trail can sometimes be seen as the only finding that shows sexual abuse.
Eye lesions: Eye lesions also give significant findings in child abuse. Eye lesions can be found, such as vitreous bleeding, lens dislocation, retinal tear in the beating eating infants. Retinal bleeds are one of the typical findings in babies than two months old. This type of bleeding consists of the child’s violent jolt. Obvious examination is very important in abuse cases.
Fractures: Fractures resulting in accidents are seen in more school-age children, while the fractures consisting of physical abuse are often under 3 years of age but are even more intensely under 1 years of age. Physical abuse is not always easy to distinguish from the accident. Physical abuse is required to pay attention to the following bone lesions;
In child, physics is the most commonly encountered in case of abuse is metaphyseal-epifical fractures. Particles that break from long bones may be radiologically detected. This type of fractures consists of the child’s arm, leg or body as a result of shake. It is usually seen on knee, elbow and wrist. It is difficult to determine costa fractures with outboard examination. Radiological examination is required. It is seen in two sided and large numbers in small children. Are more in the rear area. It occurs with two hands and shaking, compression, kicking and hitting. Radiologically may not be monitored in the beginning but it becomes evident after Kallus is formed within 10-14 days. SHAFT is fractures that are caused by direct trauma as the trauma or stick, such as waving, dialing and rotation, such as waving, flip and rotation.
In broken cases, it is necessary to pay attention to some events in the separator diagnosis. Holding the legs during delivery, advanced long, straight periostal boning can be seen depending on the removal of the baby. It should be noted that this is the radiological image caused by periostatic bleeding and should not be involved in abuse. Due to the fact that the spiral fractures in long bones are more frequently due to shaking, this type of patients should be approached in terms of child abuse. Damages in epiphyseal cartilages can lead to permanent growth defects.
Head injuries: The injury is the most common area. 50% of physical abuse cases are faced and lesions in the head. The accidents can be considered in the foreground in the lesions consisting of front-front (chin, nose and teeth). It should be considered primarily in these lesions at the edges of the face (ear, cheek, cheekbum). In the ear lobe, the channel and surrounding bleeding are important findings for abuse. Bleeds, redness and swelling points to the ear a serious hitting. Such a stroke causes rupture in the tympan membrane, which can result in hearing loss or infection.