Recognizing retinal hemorrhage patterns aids in diagnosing abuse

Gil Binenbaum, MD, MSCE, proposed a “slightly new way” of interpreting retinal hemorrhage at the virtual American Association for Pediatric Ophthalmology and Strabismus annual meeting.
“There are many causes of retinal hemorrhage in young children, and usually the question being asked of us is, ‘Are these hemorrhages due to abusive head trauma?’” he said.
Rather than trying to diagnose abuse based on number, type and location of retinal hemorrhages, Binenbaum suggested a new paradigm that would identify retinal hemorrhage patterns that would indicate trauma,

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