Chadwick 2

The Diagnosis of Inflicted Injury in Infants and Young Children

Citation:

Chadwick DL: The diagnosis of inflicted injury in infants and young children. Del Med Jrl 69(7):345-354, July 1997.

Notes:

It is common to find the history changing, apparently as the caretaker adapts it to the information learned from health providers.
Factors such as isolation, extent of social support, chemical dependency and abuse histories of caretakers are important.
The retina should be examined before sedation or anticonvulsant medication if possible.
In any medically doubtful situation, prothrombin time, partial thromboplastin time, an estimate of platelet numbers and a bleeding time should be obtained.
This article deals with many kinds of abuse in addition to shaken baby syndrome.