A 5-month-old boy is brought to the emergency department by his parents because he has been unsettled overnigh…

Question

A 5-month-old boy is brought to the emergency department by his parents because he has been unsettled overnight. He is well grown, afebrile and feeding normally. On undressing him you find a 2 cm bruise over the left ear and a smaller bruise on the left cheek. He is not yet rolling over. His father says the baby must have rolled off the couch onto a toy the previous afternoon. There are no other marks and the rest of the examination is normal. Which one of the following should be done first?

Accepted Answer

Admit him and notify child protection

Answer

Arrange a skeletal survey

Answer

Obtain a coagulation profile

Answer

Photograph the bruises for the record

Answer

Request an ophthalmology review

More from Paediatrics