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A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:
Suggested Answer: B
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Children who are shaken are frequently grasped by both upper arms. Symptoms of brain injury associated
with shaking include decreased level of consciousness.Psychosocial Integrity
21 comments · newest first
DE
Delila
1 month ago
Definitely B. We need to consider abuse in cases like this.
LU
Luther
1 month ago
A is a stretch. Clothing doesn’t usually cause that.
BA
Barrie
1 month ago
D feels off. Parents wouldn’t cause bruises trying to wake him.
FE
Felix
2 months ago
C could be possible, but bruises on arms? Seems unlikely.
GR
Gracia
2 months ago
I agree, B makes sense. The bruising is a red flag.
JE
Jerilyn
2 months ago
This is tough. I lean towards B. Shaken baby syndrome is serious.
LE
Leonora
2 months ago
Definitely B. We need to consider child safety first.
BE
Beata
2 months ago
I feel like D is too far-fetched. Parents wouldn’t cause bruising.
AM
Amalia
2 months ago
A and C seem less likely. Bruises on arms suggest something more serious.
MA
Maryann
3 months ago
I agree, B makes sense. The child being difficult to awaken is a red flag.
EV
Eveline
3 months ago
I think B is the most likely. Shaking can cause serious issues.
BA
Bambi
3 months ago
This is a tough one. The bruises are concerning.
GE
Georgeanna
3 months ago
Wait, could it really be from clothing? That seems odd.
FR
Franklyn
3 months ago
I agree, B seems most likely.
PA
Pamella
4 months ago
Bruises on the arms? That’s concerning.
IR
Iraida
5 months ago
Definitely not just a fall.
JA
Jaclyn
5 months ago
Sounds like shaken baby syndrome to me.
AY
Ayesha
6 months ago
I’m torn between B and C. I know kids can get bruises from learning to walk, but the lethargy makes me lean towards something more concerning like shaking.
FA
Fatima
6 months ago
I feel like we had a practice question similar to this one, and it emphasized the importance of considering non-accidental injuries in young children.
DA
Darrel
6 months ago
I’m not entirely sure, but I think option B about the child being shaken sounds plausible, especially with the difficulty in waking up.
RE
Renea
6 months ago
I remember discussing child abuse signs in class, and bruises on the arms could indicate something more serious than just falling.