- While a negative serology does not exclude significant intra-abdominal injury, a positive test warrants consideration of abdominal CT with contrast, as all those with hepatic / pancreatic injury who underwent serology were positive 1-3
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References
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- Hilmes MA, Hernanz-Schulman M, Greeley CS, Piercey LM., Yu C, Kan JH. CT identification of abdominal injuries in abused pre-school-age children. Pediatric Radiology. 2011;41(5):643-651 [Pubmed]
- Lindberg D, Makoroff K, Harper N, Laskey A, Bechtel K, Deye K, Shapiro R, for the ULTRA Investigators. Utility of hepatic transaminases to recognize abuse in children. Pediatrics. 2009;124(2):509-516 [Pubmed]