September Week 1: Visual Diagnosis

A lethargic infant is brought to you in clinic by a mom whose boyfriend had been babysitting.  What is this that you see on otoscopic exam?

Retinal hemorrhages seen in trauma such as child abuse or shaken baby

From: http://www.kellogg.umich.edu/theeyeshaveit/acquired/child-abuse.html

Answer: Retinal hemorrhages seen in trauma such as child abuse or shaken baby.

The medical student you are working with comes to present to you in clinic after seeing a newborn baby.  He is concerned that the parents may be abusing the baby as there are “bruises on his back”.  After examining the child, are you equally concerned?

Brusing

From: http://www.kidsgrowth.com/resources/articledetail.cfm?id=2316

Answer: Of course not!  You correctly identify this as a Mongolian spot.