<human>: Hi, I m doing a case study about a 4 month old Amish infant who died of a subdural hematoma. Some suspect Shaken Baby Syndrome; but the case is also leaning towards liver disease and deficiency of vitamin K. Any suggestions on where this is heading? Thanks!
<bot>: Hello, Liver diseases can cause increased bleeding tendency and a trivial trauma can lead to uncontrolled bleeding and that might cause subdural hematoma.  The liver is the site from which vitamin-K is synthesized and which can be the cause for low vitamin-K as well. In normal kids vigorous shaking can cause concussions and subdural bleed is very unlikely. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 