#ir #peds
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), osteomyelitis, bone tumours
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Highlight doc Day 2 - maltxuries is ideal (police or hospital camera) 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)
<span>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), osteomyelitis, bone tumours
Bruising: CBC, diff, smear, INR, PTT, von Willebrand, clotting factors VII, IX, X, XIII.
Ddx: accidental inj, bleeding d/o (ITP, thrombocytopenia, hemophilia), Summary
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