Aspectos da História Clínica e do Exame Físico Que Evidenciam Sinalização Vermelha para a Suspeição de Abuso Infantil: Uma Revisão Sistemática

Samuel Neves Ramos; Matheus de Souza Machado Barboza; Vander Henrique Strassi; Tayse Camila Graciani Ramos; Renata Martins da Cruz; Ezequiel de Bessa Mamedes; Lucas Gabriel Braz da Silva; Daniele Belizário Bispo da Silva

doi:10.36489/nursing.2025v325i30p10990-11005

Authors

Samuel Neves Ramos Médico; Universidade de Brasília (UNB). https://orcid.org/0009-0004-0859-2167
Matheus de Souza Machado Barboza Discente do Curso de Medicina; Faculdade de Medicina de Valença (FMV). https://orcid.org/0009-0009-0058-7941
Vander Henrique Strassi Médico; Universidade Federal do Mato Grosso do Sul (UFMS). https://orcid.org/0009-0001-3266-0746
Tayse Camila Graciani Ramos Médica; Universidade Federal de Minas Gerais (UFMG). https://orcid.org/0009-0007-4377-1306
Renata Martins da Cruz Médica; Universidade Federal do Sergipe (UFS). https://orcid.org/0009-0005-5664-0976
Ezequiel de Bessa Mamedes Discente do Curso de Medicina; Faculdade de Medicina de Valença (FMV). https://orcid.org/0009-0003-0734-3188
Lucas Gabriel Braz da Silva Discente do Curso de Medicina; Faculdade de Medicina de Valença (FMV). https://orcid.org/0009-0004-1209-0207
Daniele Belizário Bispo da Silva Médica; Universidade Evangélica de Goiás - UniEvangélica https://orcid.org/0000-0002-3818-2589

DOI:

https://doi.org/10.36489/nursing.2025v325i30p10990-11005

Keywords:

Child Abuse, Medical History, Physical Examination

Abstract

Objective: To define and summarize the clinical findings and physical examination elements that contribute to the suspicion of child abuse. Method: Exploratory, qualitative, and fundamental systematic review conducted through the selection of 1,712 articles from Google Scholar, PubMed, and Lilacs databases. The descriptors “Child abuse,” “Medical History Taking,” and “Physical Examination” were used. The time frame was from 1995 to 2024, including only systematic reviews and meta-analyses, with a structure based on evidence-based medicine. Results: Greater reliability in suspicion occurs when warning signs are considered together with the child’s personal medical history, physical examination, and psychosocial context.
Conclusion: Omission or failure in suspicion may be associated with clinical biases, including ethnic and socioeconomic stereotypes. Performing a complete and specific physical examination in children suspected of physical abuse is essential.

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