Evaluating for Abuse in a Child with a Disability


Case - The Exam

  • She was able to disrobe – skin exam was normal except for hyperpigmentation of her proximal inner thighs.
  • Minimized the general exam – no ear exam done and she would not open her mouth for an oral exam.
  • Heart, lung and abdominal exam were normal.

CHAMP Education for Child Abuse Medical Providers

Accessible Version

The patient was able to disrobe Her skin exam was normal except for hyperpigmentation of her proximal inner thighs. The general exam was minimized to maximize patient comfort – no ear exam was done and she would not open her mouth for an oral exam. The heart, lung and abdominal exam were normal.