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FDI Exam 3: Chapters 11 & 12
Terms in this set (36)
Sudden unexpected infant deaths are defined as deaths in infants less than 1 year of age that occur suddenly and unexpectedly, whose cause of death are not immediately obvious prior to investigation.
suid/sudden unexpected infant death
The sudden, unexplained death of an apparently healthy infant who is less than 1 year of age in which an examination of the death scene, a review of the clinical history and a complete postmortem examination fail to reveal a cause of death.
sids/sudden infant death syndrome
SIDS accounts for approx. ____ to ____ per year
3 to 4000 deaths per year
SIDS is composed of a heterogeneous _________ processes
group of disease
The American Academy of Pediatrics Task Force on Infant Positioning and SIDS recommends that healthy newborn infants
- In 1992 : be placed on their ______ to sleep
- In 1996 : be placed on their ______ to sleep
sides or backs, backs only
Most SIDS deaths occur between the ages of _______ of age and should never be diagnosed in children over _______ of age
2 and 4 months, 12 months
Most forensic pathologists do not blame SIDS in deaths of babies ______ and is probably related to disorders associated with _____ _____
under one month, neonatal dev
_____ infants seem to be at a higher risk for SIDS, however, more SIDS deaths involve ______ babies.
premature, full term
- Males _____ females.
- Race is ____ a factor.
- There is no evidence of ____ ____ .
- Higher incidence among _____ socioeconomic families
outnumber, not, genetic etiology, lower
SIDS increases as the environmental temperatures _____
Death due to SIDS occurs almost always when the infant is ____ with a peak incidence between ____ and ____
asleep, between midnight and breakfast
General policy with SIDS:
- First infant death in a family is ____
- Second death (by the same mother) is ____ with investigation
- Third death is thought to be ____
SIDS, undetermined, homicide
SIDS is a diagnosis of _____ , a complete autopsy must be conducted.
If the death occurs in a jurisdiction where families can prevent the autopsy, the cause and manner should be "_____ ".
The Autopsy in a Suspected SIDS case must include: (3)
gross examination of organs, microscopy of tissues, and toxicology
In approx. ____ % of cases appearing initially to be SIDS, a different cause of death will be determined at autopsy.
In 2001, the Committee on Child Abuse and Neglect of the American Academy of Pediatrics wrote:
- Infant's death can be ruled SIDS when: (3)
autopsy, no evidence of trauma or diseases, and other causes are ruled out
Mary Ellen (ten year old abused to death by adoptive mother)
- What agency helped her?
- What agency was created?
Prevention of Cruelty to Animals
Prevention of Cruelty to Children (1874)
Almost ____ cases of alleged child abuse and neglect were reported in 1995 and ____ % of convicted criminals were abused as children.
- Term first used by Dr. D. C. Kempe in 1962
- Injuries to multiple body surfaces and/or injuries in various stages of healing suggest repeated abuse
- Deprivation of food and water is a variant of this type of trauma.
battered child syndrome
Most battered children die as a result of ______ , and the next most common cause of death being ______ .
head trauma, abd injuries
The deliberate killing of a child within 24 hours of its birth. The perpetrator is usually the mother who is young, unmarried and uneducated. Occasionally, assisted by a friend or relative but usually alone with no witnesses
Major issue with neonaticides is knowing if infant was ____________ .
alive at time of death
Milk or food product in stomach establishes live status with _____
It was originally thought that if the child breathed, that would be the reason the lungs floated. This is not necessarily true.
Problems with Hydrostatic test:
putrefaction issues, some infants take small breaths, resus issues
Microscopic examination of lung tissue is very ____ in hydrostatic test
The most common method of killing newborn infants is by ____ which usually leaves no physical signs.
Most child murders occur in the ____ or ____ of life
first or first two years
Most commonly cited weapons in child murders are ____ and ____
hands and feet (205 cases)
A form of child abuse in which a child is brought to a doctor/hospital (usually by the mother) for induced signs and symptoms of illness in association with a fictitious history.
Munchausen's Syndrome by Proxy
The physical and mental injury, sexual abuse, or exploitation, negligent treatment or maltreatment of a child under age 18 by a person who is responsible for the child's welfare under circumstances which indicate that the child's health or welfare is harmed or threatened.
Federal Law Defining Child Abuse
Under section ____ penal code, the professional shall make a report not later than the ____ after the hour the professional first suspects that the child has been or may be abused or neglected or is a victim of an offense
21.11, 48 hr
A person acting in good faith who reports or assists in the investigation of a report of alleged child abuse or neglect or who testifies or otherwise participates in a judicial proceeding arising from a report, petition, or investigation of alleged child abuse or neglect is _____ from civil or criminal liability that might otherwise be incurred or imposed.
_____ is the second leading cause of death behind Sudden Infant Death Syndrome (SIDS) for children 1 - 6 months of age.
______ is second only to accidents as the cause of death for children 1 - 5 years of age.
Abuse recurs in approximately ____ % of child abuse cases where intervention has not occurred and in ____ % of those cases, a child will eventually be injured severely or killed.
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