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Physical
Abuse
Unexplained bruises and welts
face, mouth, lips, back, buttocks, thighs, in
various stages of healing
clustered forming regular patterns
reflecting shape of article used (electric cord,
belt buckle)
regularly appears after absence, weekend or
vacation
Unexplained
swelling/dislocation/sprains
ankles, wrists, other joints
Unexplained burns:
cigar, cigarette, especially on soles, palms,
back or buttocks
immersion burns (sock-like, glove-like)
doughnut-shaped on buttocks or genitalia
rope burns on neck, arms, legs or torso
Unexplained fractures
to skull, nose, facial structure in various
stages of healing, multiple or spiral fractures
Unexplained lacerations or abrasions
mouth, lips, gums, eyes, external genitalia
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Wary of adult contacts
Apprehensive when other children cry
Behavioral extremes:
aggressiveness or withdrawal
Frightened of parents
Afraid to go home
Reports injury by parent
Wears long sleeves or similar clothing to hide
injuries
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Physical
Neglect
Constant hunger, poor hygiene, inappropriate
dress, constant lack of supervision especially in
dangerous activities or for long periods
Unattended dental or medical needs
Inadequate guardianship
Abandonment
Delayed mental or motor development
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Begging, stealing food
Alcohol or drug abuse
Extended stay at school
Early arrival - late departure
Constant fatigue, listlessness or falling asleep
in class
delinquent (e.g. thefts)
States there is no caretaker
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Sexual
Abuse
Difficulty in walking or sitting
Torn, stained of bloody underclothing
Pain or itching in genital area
Bruises or bleeding in external genitalia,
vaginal or anal area
Venereal disease
Pregnancy
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Unwilling to change for gym/participate
Withdrawal, fantasy
lnfantile behavior
Bizarre, Sophisticated
Unusual sexual behavior
Poor peer relationships
Delinquent or run-away
Reports of sexual abuse by caretaker
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Emotional
Maltreatment
Speech disorder
Lags in physical development
Failure to thrive
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Habit disorder (antisocial, destructive,
etc.)
Developmental lags
Behavioral extremes; compliant, shy, aggressive,
demanding overly adaptive
Behavior:
Inappropriate Adult or Infantile
Attempted Suicide
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