@article{ref1,
title="Clues that aid in the diagnosis of nonaccidental trauma presenting as an apparent life-threatening event",
journal="Clinical pediatrics",
year="2008",
author="Vellody, Kishore and Freeto, Jennifer P. and Gage, Sandra L. and Collins, Nicola and Gershan, William M.",
volume="47",
number="9",
pages="912-918",
abstract="BACKGROUND: Apparent life-threatening events (ALTEs) can encompass many different diagnoses. Nonaccidental trauma (NAT) is one potential serious diagnosis. OBJECTIVE: (1) To identify key elements in the history and physical exam in infants presenting with an ALTE that aid in the subsequent diagnosis of NAT; and (2) to evaluate the role of diagnostic studies in these infants in confirming the diagnosis of NAT. DESIGN/METHODS: A retrospective chart review analysis, over a 2-year period, of infants with an ALTE was performed. From this group, all children with a discharge diagnosis of child physical abuse, shaken infant syndrome, or NAT were included in the study. RESULTS: 4 patients were found to be victims of NAT based on their clinical histories and physical examinations. Although confirmatory, ophthalmologic exams, skeletal surveys, and head CT scans had a lower sensitivity for NAT. CONCLUSIONS: NAT should be considered when an infant is admitted for evaluation of an ALTE.<p /> <p>Language: en</p>",
language="en",
issn="0009-9228",
doi="10.1177/0009922808320595",
url="http://dx.doi.org/10.1177/0009922808320595"
}