Identification and management of child abuse and neglect

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Child maltreatment, including physical, sexual, psychological, and neglect, is common and healthcare providers may encounter it in their practice. Recommendations for identifying and assessing child maltreatment in primary care and emergency settings include performing thorough examinations, asking appropriate questions, and limiting physical assessments for suspected sexual abuse. Clear and objective documentation, using quotations, drawings, and photographs when necessary, is important due to potential legal proceedings. Child welfare authorities should be contacted if maltreatment is suspected. Understanding local laws and statutes is crucial. Child maltreatment can present acutely or subtly, and cultural, legislative, economic, and resource variations exist in investigation and management.

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