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Non-accidental trauma — RCPSC EM MCQ

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HardPaediatric emergenciesNon-accidental traumaRCPSC EM

CTAS 2. A 7-month-old is brought after a reported short fall. He has vomiting, a bulging fontanelle, and bruises in different stages on the trunk. CT shows subdural haemorrhage. Retinal haemorrhages are later reported. What is the most likely diagnosis?

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Correct answer: AAbusive head trauma

Subdural haemorrhage, retinal haemorrhages, concerning bruising, and an inconsistent mechanism are highly concerning for abusive head trauma.

Reference: Canadian Paediatric Society child maltreatment guidance