Document Detail

Clues that aid in the diagnosis of nonaccidental trauma presenting as an apparent life-threatening event.
MedLine Citation:
PMID:  18648082     Owner:  NLM     Status:  MEDLINE    
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.
Kishore Vellody; Jennifer P Freeto; Sandra L Gage; Nicole Collins; William M Gershan
Publication Detail:
Type:  Journal Article     Date:  2008-07-22
Journal Detail:
Title:  Clinical pediatrics     Volume:  47     ISSN:  0009-9228     ISO Abbreviation:  Clin Pediatr (Phila)     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-06     Completed Date:  2008-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372606     Medline TA:  Clin Pediatr (Phila)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  912-8     Citation Subset:  AIM; IM    
Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA.
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MeSH Terms
Child Abuse / diagnosis*
Child, Preschool
Diagnosis, Differential
Diagnostic Imaging
Medical History Taking
Physical Examination
Retrospective Studies

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