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Implications for practice

  • A systematic review has confirmed the positive association of clinical features with abusive head trauma including retinal haemorrhages, apnoea and rib fractures1. Careful interpretation of the full clinical picture, together with the neuroradiological findings on computerised tomography scans and early magnetic resonance images should facilitate greater diagnostic confidence

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  1. Maguire SM, Pickerd N, Farewell D, Mann MK, Tempest V, Kemp AM. Which clinical features distinguish inflicted from non-inflicted brain injury? A systematic review. Archives of Disease in Childhood. 2009;94(11):860-867 [Pubmed]


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