Case 3

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The mother of a 3-month-old baby is concerned because she noticed that the baby has red eyes. He was fine when he went to bed; no URI symptoms, no cough, no vomiting, and no fevers. He awakened the next day with this finding.

image of child's eye, description below
Source: A. S. Botash, MD, used with permission

Accessible Version

A photo of an infant’s right eye that has a small area of bleeding below the iris, overlaying the sclera.

Which of the following is a true statement regarding this finding?

A. It is caused by ruptured blood vessels in the sclera.

B. Coughing is a common cause in infants.

C. This finding is suspicious for attempted strangulation.

D. A and C.