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Case of the Week 411



What is the most likely diagnosis?

  • 18 month old male with swelling of wrist



AP and oblique radiographs of the wrist

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

Additional Images - Frontal chest radiograph

 

 

Additional Images

 

Frontal chest radiograph


Answer:

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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

 

MORE...


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.