PAEDIATRICS

Bruising (kids)

Concerning bruising for NAI

  • Torso, ear, neck
  • Not indepenently mobile < 4-6 months
  • Frenulum, angle of jaw, cheek, eyelid, sclera
  • Not over front of body or bony prominence
  • With petechie
  • Clustered or patterned

Investigations

  • FBC, APTT, INR<, fibringogen
  • Consider – vWD screen, factor VIII and IX, calcium, LFTs, UEC< creatinine
  • Consider investigations for occult fractures or adbominal injury

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