Supplemental vitamin K is required for normal hemostasis in infancy. Infants born outside the hospital may not receive prophylactic vitamin K. They may suffer from bleeding into various tissues and are likely to present to the emergency department. This report describes an infant born at home who presented with intracranial bleeding and signs and symptoms consistent with child abuse. Further investigations confirmed the diagnosis of Vitamin K deficiency. Although it is important to consider child abuse when the history and examination are consistent with the diagnosis, it is equally important to consider other potential diagnoses including Vitamin K deficiency.
[Show abstract][Hide abstract] ABSTRACT: The authors have demonstrated in-situ X-ray monitoring in MOVPE
(metal-organic vapor phase epitaxy). The in-situ X-ray monitoring was
achieved even under the growth conditions at high temperature. The
temperature dependence of lattice mismatch could be evaluated with
sufficient accuracy and high resolution. In-situ X-ray monitoring was
applied to the feedback growth of a strained InGaAs layer. The precise
control of lattice mismatch of the InGaAs layer was achieved by the
Indium Phosphide and Related Materials, 1992., Fourth International Conference on; 05/1992
[Show abstract][Hide abstract] ABSTRACT: Because of the widely acknowledged controversy in nonaccidental injury, the radiologist involved in such cases must be thoroughly familiar with the imaging, clinical, surgical, pathological, biomechanical, and forensic literature from all perspectives and with the principles of evidence-based medicine. Children with suspected nonaccidental injury versus accidental injury must not only receive protective evaluation but also require a timely and complete clinical and imaging workup to evaluate pattern of injury and timing issues and to consider the mimics of abuse. All imaging findings must be correlated with clinical findings (including current and past medical record) and with laboratory and pathological findings (eg, surgical, autopsy). The medical and imaging evidence, particularly when there is only central nervous system injury, cannot reliably diagnose intentional injury. Only the child protection investigation may provide the basis for inflicted injury in the context of supportive medical, imaging, biomechanical, or pathological findings.
Topics in Magnetic Resonance Imaging 03/2007; 18(1):53-74. DOI:10.1097/RMR.0b013e3180d0a455
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