Suspected Physical Abuse Child

2 years or younger? Over 2? Neurologic findings?  #NAT #orderwhat  @AFPjournal @PCareProgress @AANP_NEWS @AAPAorg

2 years old or younger, no focal neuro symptoms => Skeletal survey

2 or younger, head trauma with no focal neuro symptoms => Skeletal survey and non con head CT

2 or younger, WITH focal neuro symptoms => Skeletal survey and non con head CT, probably brain MRI

OVER 2, WITH focal neuro symptoms => Non con head CT, probably brain MRI

Any age with obvious chest, abdomen or pelvic trauma => Skeletal survey and indicated CT 

As always, please refer to the source Appropriateness Criteria created by the American College of Radiology, here.

Educational purposes for licensed providers.

Note to Patients:

Radiology is a very large and ever changing field and this post is to help your provider.  When combined with a thorough history and physical exam, this information can be very useful.  Your provider is best suited to answer specific questions regarding this post.

A provider is usually a Nurse Practitioner, Physician Assistant or Medical Doctor.

Of course, this is not a substitute for medical care.

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