La formazione dei medici alla diagnosi di abuso come importante contributo al miglioramento della rilevazione

Training of physicians in abuse diagnosis as an important contribution to improving detection - The limited contribution of doctors to the notification of suspected abuse cases stems, for the most part, out of the limited knowledge of physical signs of abuse. In this paper the authors illustrate a specific project of education of doctors about physical signs of abuse, based on the use of an information tool available both on paper and on the web. An example is discussed in the paper, about fractures: details are given about a diagnostic algorithm, which requests the presence (or the consultation with) specifically trained doctors, intended to increase diagnostic accuracy (reducing both false positive and false negative cases). Key words: child abuse, fractures, Rx imaging, diagnosis. Parole chiave: abuso, fratture, immagini radiologiche, diagnosi.