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Fracture Assessment
- Consider the specific fracture morphology, location, and child's age when assessing for NAT.
- Some fractures, like those of the sternum, ribs, and classic metaphyseal lesions, have higher specificity for inflicted trauma.
NAT Presentation
- Children with NAT may present with visible injuries like bruising or with medical complaints like vomiting or limb disuse.
- This non-specificity makes recognizing NAT challenging, highlighting the need for thorough skin exams and consideration of trauma in various presentations.
Preventing NAT
- Pediatricians can provide anticipatory guidance on child development, especially regarding crying and colic.
- They can also connect families with resources like childcare support and screen for intimate partner violence.