
@article{ref1,
title="Toddler with unexplained multiple bruises",
journal="Pediatric emergency care",
year="2014",
author="Arora, Rajan and Hartwig, Earl and Kannikeswaran, Nirupama",
volume="30",
number="9",
pages="646-648",
abstract="It is often very challenging for clinicians to distinguish between accidental, intentional, and other causes of bruising such as underlying bleeding disorder in a child with extensive bruising. We present a case of a 17-month-old healthy male who presented to our emergency department with multiple unexplained bruises after an unwitnessed fall and was subsequently diagnosed with congenital vitamin K-dependent clotting factor deficiency. This case illustrates the importance of thorough assessment in evaluating a child with multiple bruises to differentiate accidental from intentional injuries as well as to recognize bleeding disorders, which warrant specific diagnostic workup.<p /> <p>Language: en</p>",
language="en",
issn="0749-5161",
doi="10.1097/PEC.0000000000000215",
url="http://dx.doi.org/10.1097/PEC.0000000000000215"
}