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| ==NONACCIDENTAL TRAUMA==
| | #REDIRECT[[Nonaccidental trauma]] |
| #abusive head trauma most common cause of traumatic death in infants | |
| #risk factors for abuse
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| ##infant
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| ##lower status
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| ##family problems
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| ##disability or prematurity of infant
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| #historical alternans, or may present with medical complaints like irreg breathing, apnea, sz, irritable, lethargic, vomiting, poor feeding
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| #retinal hem usually from abuse may rarely be from other trauma
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| #most common abusive lesions are
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| ##subarach hem
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| ##subdural
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| ##interhemispheric blood
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| ##cerebral edema
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| ##same lesion not common with accidental trauma but possible
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| #fx assoc with abuse are multiple, bilateral, cross sutures, diastatic, nonparietal, assoc with subdural
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| #skull fx from short fall <3 ft usually linear
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| ==Recommendations==
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| #ct if ams
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| #consider ct if h/o loc, amnesia, sz, HA, vomiting, irritable, behavioral change
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| #if mild sxs, no ct but observe at home
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| #lower threshold if young <1-2 yrs since skull fx more common and more risk for abuse
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| #image if significant scalp findings
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| #consider abuse if no hx of trauma, delay in seeking care, changing story, repeated injuries, mismatch of hx with physical exam, wounds of diff stages of healing
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| #call neurosurg if intracranial inj, skull fx depressed or widely diastatic
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| ==See also==
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| Peds: Head CT (Peds)
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| ==Source==
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| Adapted from Pani
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| [[Category:Peds]] | |
| [[Category:Trauma]]
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