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Abusive head trauma — ABEM Board MCQ

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HardTraumaAbusive head traumaABEM Board

A 9-month-old boy is brought as triage level 2 for lethargy after reportedly rolling off a couch. Exam shows a bulging fontanelle, retinal hemorrhages, and bruises of different ages. CT shows subdural blood of mixed density. Which of the following is the most likely diagnosis?

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Correct answer: B — Abusive head trauma

Subdural hemorrhage, retinal hemorrhage, inconsistent mechanism, and bruising of varied ages are highly concerning for abusive head trauma.

Reference: AAP child abuse guidance; ABEM EM Model