|
Year |
2001 |
|---|---|
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Question Number |
248. |
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Category |
Select |
Question
A female patient is most likely the victim of domestic abuse when the:
a. Injury is inconsistent with the offered explanation
b. Spouse does not express any interest in the patient’s injuries
c. Patient expresses an overly animated affect
d. Patient has a lower socioeconomic status
e. Patient is eager to leave the hospital or clinic.
Figures
Answer (click for answer)
Answer: A
Domestic violence is a significant health problem in the US especially for females. At highest risk are females age 19-29 in families with annual incomes below $10,000, and pregnant women. In addition child abuse has been reported in 33-54% of families in which adult domestic violence has occurred and elderly males and females are also at significant risk. Characteristics that may suggest abuse are: injuries inconsistent with the offered explanation, multiple injuries, injuries in different stages of healing, and a substantial delay between the onset of injury and presentation for treatment. Patients usually have a flat affect, often looking to the partner for approval before answering, and nervousness about leaving the hospital. The spouse/partner may be overly attentive, reluctant to let the patient out of his sight, aggressive and often answers questions for the patient.
Reference: Zillmer DA: Domestic violence: the role of the orthopaedic surgeon in identification and treatment. J Am Acad Orthop Surg 2000; 8:91-96.