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The differential diagnoses of retinal haemorrhages in children

The following is a summary of the systematic review findings up to the date of our most recent literature search. If you have a specific clinical case, we strongly recommend you read all of the relevant references as cited and look for additional material published outside our search dates.

 

As part of our retinal findings review, we sought to answer the question: what are the differential diagnoses of retinal haemorrhages in children with clinical features associated with child abuse?

 

Within this review, we were interested in retinal findings in children who were not subjected to physical trauma but where either they had a condition whose features may mimic child abuse, or a condition which has been proposed to cause retinal haemorrhages.

 

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Results
   – Overall results
   – Age
   – Influence of ethnicity and socio-economic group

Conditions in which retinal haemorrhages are found and their clinical overlap with abuse

Conditions in which retinal haemorrhages are proposed to occur

   – Seizures
   – Apparent life-threatening events
   – Prolonged coughing
   – Cardiopulmonary resuscitation

Implications for practice

Research implications

Limitations of review findings

Other useful references

 

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