Case 17

back to case 18forward to case 18

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.

image of retinal, description below

Accessible Version

An ocular photograph of a retina showing the optic disc with blood vessels traversing the disc and others surrounding the disc with multiple areas of leaked blood.

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

A. This finding of a unilateral retinal hemorrhage indicates that inflicted head trauma is unlikely.

B. This unilateral retinal hemorrhage is likely due to birth trauma.

C. This unilateral retinal hemorrhage supports a diagnosis of inflicted head trauma.

D. This hemorrhage is most likely due to increased intracranial pressure.