True about battered baby syndrome:
Ans. d. AllThe clinical manifestations of Battered baby syndromes are: bruises, scars, internal organ damage, and fractures in various stages of healing.CLINICAL FINDINGSBruisesIt is most commonly seen.Accidental--It is thin, leading surfaces overlying bone edges (e.g., shins)Non-accidental-- Back of hands, Buttock region, Back side, genitals, and ThoracoabdominalStaging-bruises in various stages are not compatible with a single eventFracturesCorner chip or bucket handle fracture of metaphysis due to wrenching or pulling an extremity.Inflicted fracture of bone shaftAccidental case rarely causes retinal hemorrhages or rib fractures.Highly specific for abuseBilateral fracturesRib fractures in infantsComplex skull fractureFractures of different stages of healingIntentional Head TraumaMost common cause of death occurs due to Intentional head trauma.The clinical findings in an injured infant presents with coma, convulsions, apnea, which increases ICP.Intra-abdominal InjuriesClinical findings are Absent bowel sounds, Abdominal distension, Recurrent vomiting, tenderness AND shockIt may rupture liver or spleenRow of 3-4 teardrop-shaped, 1 cm bruises in a slight curve seen if struck with fist.Laceration of small intestine occurs at sites of ligamental support.Intramural hematoma seen in temporary obstruction.
Posterior rib fracture may be seen in X-ray
Injury at the side of metaphysic is specific
Epiphyseal injury is common
All
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