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Case of the Week 335

What's the most likely diagnosis?

  • 18 month old male with swelling of wrist

  1. Rickets
  2. Lead poisoning
  3. Leukemia
  4. Hypopituitarism
  5. Child abuse

Additional Images - Frontal chest radiograph


Additional Images

Frontal chest radiograph


5. Child abuse

More (Click Discussion Tab)

Child Abuse

General considerations

  • Most common cause of serious intracranial injuries in children less than 1 year of age
  • 3rd most common cause of death in children after sudden infant death syndrome and true accidents
  • Prevalence
    • 1.7 million cases reported, 833,000 of which were substantiated in United States in 1990
    • Results in 2,500-5,000 deaths/year
    • 5-10% of children seen in emergency rooms suffer from child abuse

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18 month-old male with swelling of the wrist

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