OBJECTIVE: To study the characteristics of the shaken baby syndrome from 10 cases in Hong Kong. DESIGN: Retrospective study. SETTING: Regional public hospital, Hong Kong. PATIENTS: Six boys and four girls (mean age, 0.54 years; range, 0.18-1.42 years) in whom the shaken baby syndrome was diagnosed between January 1994 and June 1998. MAIN OUTCOME MEASURES: Clinical features at presentation, radi...

BACKGROUND/AIMS To develop and assess a zonal classification of the retina to facilitate description of the location of retinal haemorrhages in children. METHODS A novel zonal classification of the retina was devised based on the anatomical landmarks of the optic disc and vascular arcades, by reviewing a large number of wide field digital retinal images drawn from our database of children wit...

INTRODUCTION to describe antithrombotic-related major haemorrhage, therapeutic management and outcomes in patients admitted to an emergency department of a teaching hospital. MATERIAL AND METHOD This prospective cohort included patients older than 16years with antithrombotic-related major haemorrhage identified by monthly diagnostic codes computerised requests. Major haemorrhage was defined b...

Non-accidental head injury, be it shaking, impact(s) or a combination of the two, is characterised by subdural and/or subarachnoid haemorrhages with retinal haemorrhages, but minimal or absent external cranio-facial trauma. The classical assault scenario depicts the infant being gripped around the head, face, chest and abdomen and shaken or being gripped by a limb and swung. This gripping might...

BACKGROUND Fresh intrapulmonary and oronasal haemorrhages in cases of sudden infant death syndrome (SIDS) might be markers for accidental or intentional smothering inappropriately diagnosed as SIDS. AIM To compare the incidence, epidemiological association, and inter-relation of nasal haemorrhage, intrapulmonary haemorrhage, and intrathoracic petechiae in infant deaths certified as SIDS. ME...

The case here shown is the retina from an injected right eye ,taken at post mortem from a female aged 71 who had suffered from diabetes for twenty-six years. There is a Stage III diabetic retinopathy with micro-aneurysms, irregular haemorrhages, macular and punctate exudates. Although the injection is not as complete as we have obtained in freshly excised eyes, it is satisfactory for a post mor...