| Clues that aid in the diagnosis of nonaccidental trauma presenting as an apparent life-threatening event. | |
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MedLine Citation:
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PMID: 18648082 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Apparent life-threatening events (ALTEs) can encompass many different diagnoses. Nonaccidental trauma (NAT) is one potential serious diagnosis. OBJECTIVE: (1) To identify key elements in the history and physical exam in infants presenting with an ALTE that aid in the subsequent diagnosis of NAT; and (2) to evaluate the role of diagnostic studies in these infants in confirming the diagnosis of NAT. DESIGN/METHODS: A retrospective chart review analysis, over a 2-year period, of infants with an ALTE was performed. From this group, all children with a discharge diagnosis of child physical abuse, shaken infant syndrome, or NAT were included in the study. RESULTS: 4 patients were found to be victims of NAT based on their clinical histories and physical examinations. Although confirmatory, ophthalmologic exams, skeletal surveys, and head CT scans had a lower sensitivity for NAT. CONCLUSIONS: NAT should be considered when an infant is admitted for evaluation of an ALTE. |
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Authors:
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Kishore Vellody; Jennifer P Freeto; Sandra L Gage; Nicole Collins; William M Gershan |
Publication Detail:
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Type: Journal Article Date: 2008-07-22 |
Journal Detail:
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Title: Clinical pediatrics Volume: 47 ISSN: 0009-9228 ISO Abbreviation: Clin Pediatr (Phila) Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-11-06 Completed Date: 2008-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372606 Medline TA: Clin Pediatr (Phila) Country: United States |
Other Details:
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Languages: eng Pagination: 912-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA. kishore.vellody@chp.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Child Abuse / diagnosis* Child, Preschool Diagnosis, Differential Diagnostic Imaging Female Humans Infant Male Medical History Taking Physical Examination Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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