Sentinel Injuries

Case

  • A three-month-old infant was admitted to the hospital after presenting to the ED with a one-day history of fussiness.
  • Initial exam is otherwise normal.
  • Review of systems
    • Mom noticed a small bruise on the infant’s cheek one week prior to admission.

CHAMP Education for Child Abuse Medical Providers

Accessible Version

At this point, I'd like to share a case with you to highlight some of the concerns that you may be facing. So this case is a three-month-old infant who was admitted to the hospital after presenting to the emergency department with a one day history of fussiness. The initial exam is otherwise normal. And similar to what I said on the last slide on review of systems, the mom noticed a small bruise on the infant's cheek one week prior to admission. The bruise was not present on physical exam. However, in the emergency department.