Abuse: Neglect

• Neglect

  •Poor care

  •Lack of food/drink

  •Lack of hygiene

  •Lack of supervision leading to accidents

  •Lack of medical and  dental care
• Lack of food

  •Kwashiorkor

  -Severe lack of protein but with  sufficient calorie intake

  -Oedema, irritability,  ulcerating dermatose,  enlarged liver and hair  discolouration

  
• Lack of food

  •Marasmus

  Lack of protein and calories

  Emaciated, dehydrated, prone to  infections and circulatory  disorders

  
• Harris Lines

  •Reaction to:

  -stress

   -Pathological 

  -Nutritional 

  -Emotional

  Transverse sclerotic layers in  the metaphysis indicating  times of reduced growth

  Most frequently observed in  the ribs and long bones  particularly in tibia and distal femur.

  
• Enamel Hypoplasias

  •Poor, thin enamel, can  be laid down in lines

  •Linked to periods of ill-health and infection

  •Have been linked to periods of starvation