The evaluation of child abuse requires a complete history and physical examination. The history surrounding the injury can provide important clues that point toward abuse. Abused children may be too young to give a clear history.

Physical findings of abuse may not be present.

Testing may be required to look for signs of old injuries.

Tests that may be used to evaluate child abuse include:

• Skull x-ray
• Skeletal x-rays
• Chest x-ray
• Rib x-rays