What is the most likely diagnosis?
- 18 month old male with swelling of wrist
AP and oblique radiographs of the wrist
- Rickets
- Lead poisoning
- Leukemia
- Hypopituitarism
- Child abuse
Additional Images - Frontal chest radiograph
Additional Images
Frontal chest radiograph
Answer:
.
5. Child abuse
.
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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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