Adli Tıp Bülteni (Aug 2023)
Does Accident Remind Us of Negligence - or Does Negligence Remind Us of Accident? - Case Report
Abstract
In this study, a child case who was admitted to the hospital with a history of falling from a height, and forensic medical consultation was requested due to a conflict between severe clinical findings and history, will be presented and attention will be drawn to the fact that abuse and neglect can underlie every accident, especially in children. A 3-year-old girl was referred to the hospital by her refugee family with a history of falling from a height of 4 meters onto a concrete floor at noon. The case with twin spouses; it was found that he was unconscious, scalp left temporo-parietal edema, abrasions on the left forehead, and hematoma on the eyelids. In your examinations; right femur fracture, left parietal bone fracture, left orbital superior bone fracture, parenchymal hemorrhage adjacent to the left lateral ventricle and contusion in the left lung were detected. In Intensive Care; it was found that he was intubated and sedated, his general physical appearance and development were normal, he was found to be normal in terms of hygiene, and his genital area examination was normal. Childhood physical traumas are situations that need to be investigated thoroughly, may be caused by neglect and abuse, and a multidisciplinary approach should be exhibited. In this regard, child health professionals; they can play important roles in many stages, from prevention, reporting and treatment to child protection and monitoring services.
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