OBJECTIVE Our objective was to conduct a pilot study to identify discriminating bruising characteristics and to model those findings into a decision tool for screening children at high risk for abuse. METHODS A case-control study of children 0 to 48 months of age who were admitted to a PICU because of trauma was performed. Case subjects (N = 42) were victims of physical abuse, and control sub...

Also called “acute idiopathic blue finger” or “paroxysmal finger hematoma,” Achenbach syndrome is a benign collection of findings that often mistaken for more serious conditions. Characteristically presenting with discrete unexplained bruising discoloration the volar aspect one two fingers, it diagnosis physicians should include on their differential given its innocuous course and excellent out...

Defects associated with broiler carcasses were used to reveal adverse welfare when dietary CP and ME varied. Chicks were reared sexes-separate in floor pens from 0 to 42 days of age on common feeds. During the subsequent 42-56 days, feeds having CP at either 18.0 or 16.5% while ME was either 3250 or 3090 kcal / kg were given. All feeds either attained or exceeded minimum nutrient requirements. ...

67 ACUPUNCTURE IN MEDICINE 2003;21(1-2):63-64. www.medical-acupuncture.co.uk/aimintro.htm Dear Editor A gentleman (RH) of my acquaintance was unfortunate enough to be involved in a road traffic accident where he mistakenly pulled out in front of a Cherokee Jeep. The Jeep’s near-side struck RH’s car at a speed between 45 and 55 miles per hour. RH was treated in the local hospital after various X...

Case 1.?W. L., male, aged 38. The right forearm was crushed while he was at work in a mine. He continued work, but by night the arm had become very painful. He noticed that it was " swollen and hard." Pain continued all night, and next day he could not move his wrist and fingers. When he came to the Cardiff Royal Infirmary his right forearm was very swollen and very tense and particularly hard ...

A wound infection should have either a purulent discharge in, or exuding from, the wound or a painful, spreading erythema indicative of cellulitis. Bruising, haematoma formation, serous and lymph collections are complications which may predispose to the development of wound infection, and may lead to diagnostic difficulties. Infection should be considered to be present when there is fever, tend...

Haglund's syndrome, which is an inflammation of the bursa and a bony enlargement on the back of the heel that most often leads to painful bursitis, is a rare cause of retrocalcaneal pain. The clinical diagnosis is often confusing as the clinical picture may mimic other causes of hindfoot pain such as isolated retrocalcaneal bursitis or hindfoot involvement from more systemic disorders such as s...

The authors are to be congratulated for the systematic review ‘‘Are there patterns of bruising in childhood which are diagnostic or suggestive of abuse?’’. It is an extremely valuable piece of work, providing data for paediatricians working in the field of child protection. Results show that non-abusive bruises are generally small, sustained over bony prominences, and found on the front of the ...