The possibility of assault should be considered if a patient’s explanation of any injury does not seem plausible or when there has been a delay in seeking medical attention. There are certain types of injuries and/or behaviors that are commonly associated with abuse.
The injuries listed below may be indicative of abuse. However, an overall assessment of the individual may need to be done to produce conclusive findings. The following are indications of abuse:
1. Minor lacerations, contusions, abrasions, fractures, or sprains.
2. Injuries to the head, neck, chest, breasts, or abdomen.
3. Injuries during pregnancy, such as spontaneous abortions.
4. Multiple injury sites.
5. Chronic or repeated injuries.
6. Medical problems that indicate chronic or psychogenic pain.
7. Physical symptoms related to stress, anxiety disorders, or depression.
8. Chronic diseases, such as asthma, seizures, or arthritis.
9. Multiple gynecological problems.
10. Frequent use of prescribed minor tranquilizers or pain medications.
11. Psychiatric symptoms such as panic attacks, substances abuse, inability to cope, feelings of isolation, or suicidal tendencies.
12. Behavioral problems such as an appearance of fright, shame, or embarrassment.