MEDICAL TERMS IN CHILD ABUSE Compiled by Detective Marilyn Malone, retired, Tucson Police Department Edited by Anna Binkiewicz

, M.D., Director, Arizona’s Child Abuse InfoCenter abrasion acute afebrile akinetic alopecia, traumatic ALTE anoxic anterior apnea asphyxia asymptomatic asystole atrophy auscultation bilateral bruise cephalic cerebral veins chronic clonic closed fracture complicated fracture compound fracture congenital contusion CPR CSF CT/CAT scan CTA cyanosis deciduous teeth diaphysis differential diagnosis distal distal end dorsal ecchymosis edema EEG EKG or ECG body surface denuded of skin by some mechanical process having severe symptoms and a short course without fever absence of movement loss of hair from pulling apparent life-threatening event absence of oxygen supply to the tissues towards the front cessation of breathing condition caused by insufficient intake of oxygen without symptoms no heartbeat a wasting away listening for sounds within the body on two sides contusion pertaining to the head bridging veins between the skull and the brain persisting for a long time rapidly alternating muscular contraction and relaxation fracture with no skin wound broken bone that has injured an internal organ bone broken and protruding through skin present at birth bruise cardiopulmonary resuscitation cerebro-spinal fluid computerized tomography: a radiological study to detect injury clear to auscultation (audible) bluish discoloration of skin and mucous membrane “baby” teeth shaft of long bone list of alternative diagnoses farther from a point of reference end of bone farthest from center of body toward the back/opposite of ventral small blood spot, non-elevated, blue or purple abnormal accumulation of fluid electroencephalogram: record of electrical activity in the brain electrocardiogram: record of electrical activity in the heart

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emesis epiphysis epistaxis erythema esotropia etiology eupnea factitious febrile femur fibula flat bones fontanelle frenula frontal bone FTT fundus of the eye funduscope grand mal seizure hairline fracture HEENT histology histolysys holohygroma ictal incision ischemic laceration lateral long bones mandible maxilla metaphyseal fracture metaphysis MRI NAD NC/AT NICU

vomiting growth plate (attached cartilage at each end of long bone in growing children) nosebleed skin redness crossed eyes cause, or the science that studies the cause of disease normal respiration produced by man rather than by natural forces feverish thigh bone smaller lower leg bone non-tubular bones of the skull, breastbone, shoulder blades, and pelvis infant’s “soft spot”; membrane-covered space at junction of sutures between the frontal, parietal, and occipital bones of the skull small folds of skin that connect the lips to the gums, and the tongue to the floor of the mouth forehead bone of the skull failure to thrive back portion of interior of the eyeball instrument used to examine interior of the eye in epilepsy, generalized convulsions, usually associated with loss of consciousness minor fracture of the bone head, ears, eyes, nose, throat microscopic study of the structure of tissues breaking down of tissues prefix meaning whole accumulation of fluid in sac or cyst epileptic seizure cutting wound condition from a deficiency of blood due to obstruction or constriction of a blood vessel tearing wound, cut on one side tubular bones of the arms, legs, ribs, and collar lower jaw upper jaw chip of the growing end of bone pulled off widened end of bone magnetic resonance imaging (radiology technique) no apparent distress normo-cephalic and atraumatic neonatal intensive care unit

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occipital bone ocular OI otitus media P.O. papilledema parietal bone patella pathognomonic PEARL Peds periosteum peritonitis periumbilical peroneal PERRL (A) petechia, petechiae petit mal seizure phalanges PICU posterior proximal proximal end purpura pyloric stenosis radius reflux refractory retinal hemorrhage scapula sepsis short bones SIDS SNAT spiral fracture stenosis stridor subdural hematoma subgaleal hematoma symptomatic syndrome

rear skull bone pertaining to the eyes osteogenesis imperfecta, a disease of the bone inflammation of the middle ear, usually because of infection by mouth edema of the optic disk mid-skull bone knee cap a sign or symptom on which a diagnosis can be made pupils equal (in size) and reactive to light pediatrics department, ward, unit thin layer of connective tissue covering the bone shaft inflammation of lining of abdominal cavity around the umbilicus pertaining to outer side of the leg or fibula pupils, equal, round, reactive to light (& accommodation) pinpoint, non-raised purplish-red spot due to escape of blood sudden loss of consciousness in epilepsy finger bones pediatric intensive care unit towards the back closer to a point of reference end of bone closest to center of body hemorrhage into the skin obstruction of pyloric orifice of stomach bigger bone of lower arm, on the thumb side backwards or return flow not readily yielding to treatment bleeding to the innermost layer of the eye, caused by increased intracranial pressure, a sign of head injury; an important finding in shaken baby injury shoulder bone presence of pathogenic microorganisms or toxins in blood or tissues tubular bones of hands and feet sudden infant death syndrome suspected non-accidental trauma diagonal fracture of a bone narrowing or contraction of body passage or opening harsh, high-pitched respiratory sound bleeding under the dura of the skull bleeding between the skull and the scalp with symptoms a set of symptoms occurring together

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systole TCN thorax tibia tonic transverse fracture triage ulna URI ventral ventricle

heart contraction temporary custody notice chest large bone of lower leg continuous tension, stiff fracture line at right angles to long axis of bone classification of casualties to determine urgency of need and place of treatment bone of lower arm, on the pinky finger side upper respiratory infection opposite of dorsal; toward or on the belly surface a small cavity or chamber as in the brain or heart

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