RT Book, Section A1 Weinberg, Samuel A1 Prose, Neil S. A1 Kristal, Leonard SR Print(0) ID 6988948 T1 Section 25. Artifacts T2 Color Atlas of Pediatric Dermatology, 4e YR 2008 FD 2008 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-145543-5 LK accesspediatrics.mhmedical.com/content.aspx?aid=6988948 RD 2024/03/29 AB The physical abuse of children accounts for many deaths each year in the United States. Physicians who care for children must acquaint themselves with the signs of battering, sexual abuse, and nutritional deprivation. For the protection of children, the laws in all states require the reporting of all cases of suspected child abuse. Illustrated here are typical loop marks in a child who was struck with a doubled-over rope or electrical cord. The presence of ecchymoses or scars on the lower back or buttocks is almost always the result of physical abuse. Slap marks, human bites, and lash marks each leave bruises of a distinctive shape and distribution. The presence of bruises of this sort is the evidence of force used without restraint and is a definite sign of child abuse.