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May 4, 1994

Child Abuse: Medical Diagnosis and Management

JAMA. 1994;271(17):1375-1376. doi:10.1001/jama.1994.03510410093043

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This handsome book of moderate size brings together material on a subject that is vital in the culture of today. One can hardly escape the subject of child abuse, which is presented by all types of media, sometimes luridly and sensationally.

The 26 contributors have approached child abuse in general and by location of trauma, eg, head, trunk, skeleton, and even the body at the autopsy table.

In some states, physicians and others are required by law to report suspected child abuse. Therefore, an especially valuable chapter is entitled "Conditions Mistaken for Child Abuse." One rarely thinks of poisoning as a form of abuse, but, surprisingly, a chapter on poisoning as child abuse has 143 references. References in all chapters are impressive, as illustrated by 256 for the chapter "Sudden Infant Death and Child Abuse."

Many of the chapters have superior illustrations. Those comparing female genital trauma with congenital or

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