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](https://pediatrics.georgetown.edu/wp-content/uploads/sites/98/2019/03/retinalhemorrhagechildabuse_1.jpg)
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](https://pediatrics.georgetown.edu/wp-content/uploads/sites/98/2019/03/mongolian_spot_1.jpg)
From: http://www.kidsgrowth.com/resources/articledetail.cfm?id=2316
Answer: Of course not! You correctly identify this as a Mongolian spot.