By McIlwraith C. G., Cox R. T.
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Extra resources for Apparent Evidence of Polarization in a Beam of -Ray
High signal areas were seen affecting the gyri in the frontal, posterior parietal, anterior temporal, and occipital regions (B). Appearances indicated an extensive ischaemic haemorrhagic event. The anterior temporal lesions were typical of a shearing injury. history, and vitamin K status, and full details of explanations of injury (see chapter 2) is also essential. The social and family history are also important because many of these infants may have experienced previous episodes of abuse that were missed during other health visits or possibly during admissions to hospital.
These may be because the lower position of the child’s liver makes it susceptible to shearing force from the rib margin. Diagnosis 34 ABC of Child Protection These problems require extra fluids to be given for renal protection and monitoring of renal function. Electrocardiography or echocardiography may be indicated if cardiac injury is suspected. Acute rib fractures can be difficult to recognise on plain radiographs and may be easier to see with oblique views. If early identification is important, scintigraphy is indicated.
Investigating subdural haemorrhage in infants. Arch Dis Child 2002;86:98–102. Lyons TJ, Oates K, Falling out of bed: a relatively benign occurrence. Pediatrics 1993;92:125–7. Reece RM, Sege R, Childhood head injuries – accidental or inflicted? Arch Pediatr Adolesc Med 2000;154:11–5. Stoodley N. Neuroimaging in non-accidental head injury: if, when, why and how. Clin Radiol 2005;60:22–30. Towner D, Castro MA, Eby-Wilkens E, Gilbert WM. Effect of mode of delivery in nulliparous woman on neonatal intracranial injury.