A 1-Month-Old, Full-Term Boy Is Brought to the Emergency Department

question 15

Multiple Choice

A 1-month-old, full-term boy is brought to the emergency department by his mother due to difficulty awakening him.  The mother says that the infant was left alone for a few minutes this morning and rolled off a bed.  Since then, he has been sleepy and less active than usual.  Physical examination shows a lethargic boy with a large, full anterior fontanelle.  Bilateral retinal hemorrhages are seen on funduscopic examination.  Which of the following should be strongly suspected in this patient?

• A)Abusive head trauma
• B)Bacterial meningitis
• C)Idiopathic thrombocytopenic purpura
• D)Neonatal vitamin K deficiency
• E)Retinoblastoma
• F)Unintentional head injury

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Definitions:

Nature-versus-nurture

An ongoing debate in psychology and sociology regarding the relative impact of genetic inheritance (nature) and cultural and environmental influences (nurture) on human behavior and traits.

Gender

A societal concept encompassing the expected duties, behaviors, pursuits, and characteristics deemed suitable for males and females by a specific culture.

Controversial

Describes an issue, subject, or opinion that leads to disagreement or debate, often because it challenges social norms or established beliefs.

Implications

Consequences or effects that may occur as a result of an action or decision, often extending beyond what was initially anticipated.