The accurate diagnosis and successful management of pediatric abusive head trauma present pediatricians with many unique challenges. To overcome these challenges requires a high index of clinical suspicion; a willingness to report any suspicion of abuse; knowledge of the relevant medical literature; a direct, nonaccusatory, and supportive approach with parents; thorough history taking; meticulous physical examination; and most important, professional objectivity and integrity. Your patients deserve no less.
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Hymel et al. (2005) studied this question.
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