Inflicted (non-accidental) Injury

You suspect the child’s injuries are due to physical abuse.

From the information given, list two other types of child abuse/maltreatment that this child is likely to be suffering?

(0.5 marks for each correct answer; maximum 1 mark)

What further history (apart from that already given) would you seek to screen for risk factors for child abuse/child maltreatment in this patient? State two risk factors.

(0.5 marks for each correct answer; maximum 1 mark)

You decide to admit the child under the paediatric team for child safeguarding and inform the paediatric team.

You explain this to the child’s parent. They disclose that they have left their other 3-year-old child alone at home sleeping and must leave now with your paediatric patient. They refuse overnight admission and do not consent to you disclosing any information to the duty child safeguarding consultant or to any other child protection agencies.

How will you manage this patient?

List two of your next management steps.

(0.5 marks per correct component; maximum 1 mark)