TY  - JOUR
T1  - REcognizing abusive head trauma in children
AU  - Becker H, Gupta BK
Y1  - 1999/10/20
N1  - 10-1001/pubs.JAMA-ISSN-0098-7484-282-15-jac90009
JO  - JAMA
SP  - 1421
EP  - 1422
VL  - 282
IS  - 15
N2  - 
Examining small infants can be done easily in the hospital. Vision can
be assessed by close observation of fixation and following patterns. The pupillary
reflexes should be examined carefully for sluggish pupils or a defect in the
afferent pupillary response. External signs of periorbital edema, ecchymosis,
or lid lacerations may be seen. Palpation of the orbital rim may reveal the
characteristic step-off of a previous orbital floor fracture. A traumatic
sixth-nerve palsy may result in esotropia. A variety of anterior segment findings,
including conjunctival lacerations, corneal abrasions, traumatic cataract,
or hyphema with attendant intraocular pressure changes, may be noted.

SN  - 0098-7484
M3  - doi: 10-1001/pubs.JAMA-ISSN-0098-7484-282-15-jac90009
UR  - http://dx.doi.org/10-1001/pubs.JAMA-ISSN-0098-7484-282-15-jac90009
ER  -