Skip to main content
MedVellum
QuestionsVideosPricing

MedVellum

Fellowship exam preparation across every specialty: source-verified topics, questions in every format, and videos.

Product

  • Specialties
  • Questions
  • Videos
  • Exam tools
  • Pricing

Verification & policy

  • Verified register
  • Editorial policy
  • Privacy
  • Terms

Account

  • Sign in
  • Create account
  • Dashboard
  • Account & billing

© 2026 MedVellum. For education only — not a substitute for clinical judgement.

llms.txtPsychiatry LLM catalogSitemap

Paeds Caseschild-safety-and-social-paediatrics

Paeds Cases · child-safety-and-social-paediatrics

Suspected inflicted abdominal injury — long case

Long case on a pre-verbal child with delayed presentation of a rigid abdomen: pattern recognition, occult-injury screening, concurrent trauma-and-safeguarding management and safe disposition.

paediatric long case with safeguarding interface1 min readVerification in progress

Target exams

RACP DCEMRCPCH Clinical
On this page
Study tools

Target exams

RACP DCEMRCPCH Clinical
Prompt
16-month-old with two days of vomiting and a rigid abdomen attributed to a 'tummy bug'; a short fall is offered as mechanism and there is a flank bruise.

Objectives

  1. Recognise that a delayed rigid abdomen with an under-explanatory mechanism is inflicted injury until proven otherwise. [1]
  2. Construct the laboratory occult-injury screen and imaging strategy for a stable child. [2] [6]
  3. Run trauma-team care and safeguarding concurrently, not sequentially. [1] [5]
  4. Secure safe disposition before discharge. [1]
Paediatrics Fellowship Pro

Continue reading

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

Sign in to continueSee pricing
References6ShowHide
  1. [1]Maguire SA A systematic review of abusive visceral injuries in childhood--their range and recognition Child Abuse Negl, 2013.PMID 23306146
  2. [2]Lindberg DM Utility of hepatic transaminases in children with concern for abuse Pediatrics, 2013.PMID 23319537
  3. [3]Sowrey L Duodenal injuries in the very young: child abuse? J Trauma Acute Care Surg, 2013.PMID 23271088
  4. [4]Kemp AM Patterns of skeletal fractures in child abuse: systematic review BMJ, 2008.PMID 18832412
  5. [5]Rosenfeld EH Understanding non-accidental trauma in the United States: A national trauma databank study J Pediatr Surg, 2020.PMID 31103270
  6. [6]Wootton-Gorges SL ACR Appropriateness Criteria(®) Suspected Physical Abuse-Child J Am Coll Radiol, 2017.PMID 28473090
Paediatrics Fellowship Pro

$29/ monthor $279 / year

The complete Paediatrics Fellowship library, every exam format, one subscription.

  • Complete library for one chosen specialty
  • Timed MCQ mock exams and spaced review
  • Clinical cases & cross-table vivas
See pricingSign in
PreviousSuspected child sexual abuse with a positive STI — forensic evaluation, prophylaxis and safety planning OSCEchild-safety-and-social-paediatricsNextTrafficking, exploitation and forced marriage — OSCEchild-safety-and-social-paediatrics