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首页> 外文期刊>American journal of medical genetics, Part A >A case of broken bones and systems: The threat of irresponsible testimony
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A case of broken bones and systems: The threat of irresponsible testimony

机译：骨骼和系统破碎的案例：不负责任的证词的威胁

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摘要

A 2-month-old healthy baby presented to the emergency room with an arm that was not moving and was found to have multiple and extensive fractures of her long bones. An extensive medical work-up was done, and the hospital's multidisciplinary child abuse team was consulted, including child protection, genetics, radiology, and general pediatrics. It was determined that the history, clinical findings, radiographic findings, and laboratory findings were consistent with child abuse. Child protection services removed the child from the home, and for the next 10 months, the infant was well, and did not sustain a single new fracture. At a civil proceeding to determine the infant's custody, an expert witness for the defense concluded that the child had hypermobile Ehlers-Danlos syndrome and low vitamin D. He stated that because of these conditions, the baby was vulnerable to fractures with routine handling. This is a personal story of a clinical geneticist who explored fracture fact versus fracture fiction and learned about the difference between responsible and irresponsible testimony. This story gives insight into how physicians can prepare to transition from the clinic to the courtroom. It is also a story about how medical experts must and should remain unbiased, evidence-based, and committed to accuracy and truth.
机译：一个2个月大的健康婴儿呈现给急诊室，手臂没有移动，发现她的长骨骼具有多种和广泛的骨折。已经完成了广泛的医疗工作，并咨询了医院的多学科儿童虐待团队，包括儿童保护，遗传学，放射学和通用儿科。确定历史，临床调查结果，放射线摄影结果和实验室发现与儿童虐待一致。儿童保护服务从家里删除了孩子，并在未来10个月内，婴儿很好，并没有维持一个新的骨折。在民事诉讼中确定婴儿的监护权，辩护的专家证人得出结论认为，孩子患儿童ehlers-danlos综合征和低维生素D.他说，由于这些条件，婴儿易受常规处理的骨折。这是一个临床遗传学家的个人故事，探讨了骨折事实与骨折小说，并了解了负责任和不负责任的证词之间的差异。这个故事深入了解医生如何准备从诊所到法庭的转变。它也是一个关于医学专家必须且应仍然不偏见，证据，并致力于准确性和真理的故事。

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