Although it‘s often difficult to detect, child abuse does leave signs – odd bruises, sudden emotional changes – and concerned adults have both a state hotline and local organizations that offer help, says pediatrician Although it‘s often difficult to detect, child abuse does leave signs – odd bruises, sudden emotional changes – and concerned adults have both a state hotline and local organizations that offer help, says pediatrician Ann Botash, MD Ann Botash, MD of the Upstate Golisano Children's Hospital. of the Upstate Golisano Children's Hospital.