SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging
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The role of the doctor is to: (see also: Child abuse: management of physical abuse) 1. Take a full medical history without detail about the CSA (role of social worker/police). 2. do a complete physical examination of the child. 3. collect medico-legal evidence using a crime kit if abuse is recent (<72 hours). 4. Do further investigations, e.g. special investigations for physical abuse, pregnancy test if pubertal, and syphilis and HIV serology. 5. ⋯ Ensure the safety of the child. 9. Give treatment and prophylaxis as clinically indicated. 10. Arrange referral(s) and follow-up appointments.
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Child abuse is the intentional maltreatment of a child with the purpose of inflicting injury or harm. The doctor's role in the management of child abuse is to: 1. Recognise or identify the problem. 2. ⋯ Notify the Department of Social Services about abuse. 9. Ensure the safety of the child together with the management team. 10. Arrange follow-up visit(s).
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Caustic injury of the oesophagus and stomach is common among children and young adults. The morbidity associated with caustic injury can be severe. Due to improved management the mortality has decreased significantly. Alkaline agents tend to cause more severe injury than acidic agents.