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Child Abuse Case 17

A 4-month-old infant without a history of trauma presents with rib fractures, acute bilateral subdural hemorrhages and the unilateral retinal hemorrhage shown below.

Which of the following is a true statement about this retinal hemorrhage?

  1. This finding of a unilateral retinal hemorrhage indicates that inflicted head trauma is unlikely.
  2. This unilateral retinal hemorrhage is likely due to birth trauma.
  3. This unilateral retinal hemorrhage supports a diagnosis of inflicted head trauma.
  4. This hemorrhage is most likely due to increased intracranial pressure.

retinal hemorrhage

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