PART D – Examination of children
stress disorder and feelings of guilt and selfblame (Pynoos, Kinzie, & Gordon, 2001).
After a traumatic event, children may suffer
from enuresis and – less frequently – from
encopresis (Kaffman & Elizur, 1983; Simpson, 1993). Nocturnal enuresis is rather common in children of school age. It occurs more
often in boys than in girls. There is a strong
association with a family history of bedwetting. Regressive enuresis (occurs after children were previously dry) may be triggered
by stressful events. Physical examination
and urinalysis are indicated to exclude organic damages, but organic pathology may
be found in only a very small number of
cases.
Possible differential diagnoses are urinary
tract infections (especially girls) and diabetes mellitus. Encopresis is less common
than enuresis. It is a problem that in most
cases develops as a result of long-standing
constipation. It may represent emotional
problems. As in the case of enuresis, organic
defects are rarely found, but should be excluded.
33
It would facilitate the recognition of physical consequences of torture if health professionals were familiar with the physical consequences of other non-accidental injuries
in children. The shaken infant syndrome
has been described as occurring only in
very young children, seldom older than two
years of age. However, symptoms similar to
the shaken infant syndrome have been diagnosed in an adult who had been subjected
to shaking during interrogation (Pounder &
Path, 1997). There has been no systematic
study of morbidity amongst the many people
who have been submitted to shaking during
interrogation.
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