TY  - JOUR
PY  - 2008//
TI  - Clues that aid in the diagnosis of nonaccidental trauma presenting as an apparent life-threatening event
JO  - Clinical pediatrics
A1  - Vellody, Kishore
A1  - Freeto, Jennifer P.
A1  - Gage, Sandra L.
A1  - Collins, Nicola
A1  - Gershan, William M.
SP  - 912
EP  - 918
VL  - 47
IS  - 9
N2  - 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>
LA  - en
SN  - 0009-9228
UR  - http://dx.doi.org/10.1177/0009922808320595
ID  - ref1
ER  -