TABLE 1

Suspicion of Child Abuse in Ambulatory Children on the Basis of Characteristics of Bruises14,15,17

Less Suspicious for Child AbuseMore Suspicious for Child Abuse
ForeheadLocation
Under chin Face
Elbows Ears
Lower arms Neck
Hips Upper arms
Shins Trunk
Ankles Hands
 Genitalia
 Buttocks
 Anterior, medial thighs
Pattern
 Slap or hand marks
 Object marks
 Bite marks
 Bruises in clusters
 Multiple bruises of uniform shape
 Large cumulative size of bruising