Clinical Case Database / Category: Patient Management
Unexplained seizures in an infant
Publication details
Dr Rachel Dixon, Dr Musa Kaleem
Foundation Years Journal, volume 7, issue 9, p.78 (123Doc Education, London, October 2013)
Abstract
We present a case of a 4-month old female who presents with a history of a seizure following a feed. This article reviews the role of the junior doctor in the investigation of non-accidental injury, including obtaining a relevant history and carrying out a thorough examination. The imaging protocols issued by The Royal College of Radiologists and The Royal College of Paediatrics and Child Health are summarized. The specificity and mechanism of injuries are also discussed.
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Authors
Dr Rachel Dixon
Royal Manchester Children’s Hospital,
Oxford Road, Manchester, M13 9WL
drracheldixon@yahoo.co.uk
Dr Musa Kaleem
Consultant Paediatric Radiologist
Royal Manchester Children’s Hospital,
Oxford Road, Manchester, M13 9WL
musa.kaleem@cmft.nhs.uk
References
1. Department for children, schools and families. Referrals, assessments and children and young people who are the subject of a child protection plan, England - year ending 31 March 2009. London, UK. 2009
2. May-Chahal C, Cawson P. Measuring child maltreatment in the United Kingdom: a study of the prevalence of child abuse and neglect. Child Abuse and Neglect. 2005; 29(9): 969-84.
3. The Royal College of Radiologists and The Royal College of Paediatrics and Child Health. Standards for Radiological Investigations of suspected Nonaccidental Injury. London, UK. 2008.
4. Wyatt JP, Illingworth RN, Graham CA, Clancy MJ, Robertson CE. Oxford Handbook of Emergency Medicine (3rd edition). Oxford, UK: Oxford University Press 2006.
5. Collier J, Longmore M, Scally P. Oxford Handbook of Clinical Specialties (6th edition). Oxford, UK: Oxford University Press 2003.
6. Lonergan GJ, Baker AM, Morey MK, Boos SG. From the Archives of the AFIP: Child abuse: Radiologic-Pathologic correlation. RadioGraphics 2003; 23: 811-845.
7. The Royal College of Paediatrics and Child Health. Child Protection Companion. 1st edition. London, UK. 2006
8. Dwek JR. The Radiographic Approach to Child Abuse. Clinical Orthopaedics and Related Research 2011; 469: 776-789.
9. Offiah AC, Hall CM. Radiological Atlas of Child Abuse. Oxford, UK. Radcliffe Publishing. 2009.
10. Kleinman, PK. Diagnostic Imaging of Child Abuse. (2nd edition) St Louis, USA. Mosby. 1998
11. Offiah A, van Rijn RR, Perez-Rossello JM, Kleinman PK. Skeletal imaging of child abuse (non-accidental imaging). Pediatric Radiology 2009; 39: 461-470.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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