Retinal Hemorrhages
| Autor: | Emily Killough, Jennifer B Hansen, Mary E. Moffatt, Jane F. Knapp |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty Retinoschisis Head trauma Diagnosis Differential 03 medical and health sciences Retinal hemorrhages 0302 clinical medicine 030225 pediatrics Craniocerebral Trauma Humans Medicine Child Abuse Child medicine.diagnostic_test business.industry Infant Retinal Hemorrhage General Medicine medicine.disease Eye examination Accidental Pediatrics Perinatology and Child Health 030221 ophthalmology & optometry Emergency Medicine Differential diagnosis business |
| Zdroj: | Pediatric Emergency Care. 34:665-670 |
| ISSN: | 0749-5161 |
| DOI: | 10.1097/pec.0000000000001605 |
| Popis: | Abusive head trauma is an important cause of morbidity and mortality in infants and young children. Retinal hemorrhages (RHs) are frequently seen, particularly during dilated eye examination of these children. This review focuses on the evaluation of children with RH, with emphasis on the differential diagnosis, pathophysiology, and distinguishing features of RHs due to abusive head trauma. Many causes exist for RHs in infants and children. Most medical and accidental traumatic causes result in a pattern of RH that is nonspecific and not typical of the pattern and distribution of RHs seen in children with abusive head trauma. In children with intracranial hemorrhage and concerns for abuse, the finding of severe, multilayered RHs extending to the periphery of the retina is very specific for abuse as the cause of the findings, especially if retinoschisis is present. There are few other accidental traumatic mechanisms associated with retinoschisis, and the history of such a traumatic event is readily apparent. The indications for ophthalmologic consult, optimal timing of the eye examination, and significance of the findings are specifically discussed. |
| Databáze: | OpenAIRE |
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