#ir #peds
Ix (suspected non-accidental in non-ambulating children/infants): skeletal survey (all <2yo if NAI suspected), CT head, direct ophthalmoscopy, labs for occult trauma (AST, ALT, lipase, UA)
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Highlight doc Day 2 - maltx), abdo, msk (swelling, pain), g/u (by specialized team)
Palpate everywhere
Document all injuries on a body diagram: type, location, size, shape, colour, pattern Photography of skin injuries is ideal (police or hospital camera) <span>Ix (suspected non-accidental in non-ambulating children/infants): skeletal survey (all <2yo if NAI suspected), CT head, direct ophthalmoscopy, labs for occult trauma (AST, ALT, lipase, UA)
Fractures: bone density on XR, Ca 2+ , Mg 2+ , Phos, ALP, PTH, VIT D
Ddx: accidental inj, osteogenesis imperfecta, Menkes dz, osteopenia (rickets, prematurity, meds), os Summary
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