Created November 15, 2025
Systematically search the patient's electronic medical record (EMR), including all past visit notes, growth charts, injury documentation, and social service history, for documented physical, behavioral, and caregiver red flags that may indicate potential child abuse or neglect. Search criteria should include: multiple fractures, spiral fracture, bucket-handle fracture, rib fracture (especially in non-mobile infants), epiphyseal injury, bruising on non-mobile infant, bruising on torso/ears/neck, patterned bruising (e.g., belt, hand print), discrepancy in dating of bruises, glove-and-stocking burn pattern, immersion burn, circular burns, splash/spill injury, subdural hematoma, retinal hemorrhage, Shaken Baby Syndrome, inconsistent history of fall, failure to thrive, severe malnutrition, untreated illness, missed immunizations/appointments, poor hygiene, extreme aggressiveness, passivity, hyper-vigilance, flat affect, fear of going home, inappropriate sexual knowledge/behavior, child fears physical exam, avoids caregiver eye contact, child flinches at sudden movements or touch, alcohol intoxication, illicit drug exposure, history provided by caregiver is inconsistent, injury mechanism does not match severity, caregiver delays seeking care, caregiver indifferent to child's pain, overly demanding/critical of child, caregiver reluctant to leave child alone, CPS involvement, protective services, child removed from home, documented family violence, domestic violence, few social contacts, family moves frequently, no available babysitters/support system
Specialty: Emergency Medicine
AI Tool: Evidently