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 Case
#38 “The Fallen Baby”
by Charlene Babcock Irvin, MD
An 8 week old infant is brought in by his
mom after being found on the ground.
According to the mom, she put the baby in a
bouncy seat in the middle of the kitchen
table and went to take a shower. When she
got out of the shower, she heard crying and
the dog barking and found that the baby had
rolled out of the bouncy seat and landed on
the ground. The fall was about 4 feet. After
she picked the baby up, he stopped crying.
No vomiting, no abnormal behavior. She
wanted to be sure the baby was okay, so she
brought him in to be checked. Prior to this
the baby had been normal, with no rashes,
fevers, diarrhea or vomiting. The baby had
been eating normal, and had normal bowel
movements and normal stools.
PMH: Vaginal delivery, shots up to date,
went home with mom from the hospital. Baby
has made all of his pediatrician’s
appointments.
SH: Mom is a social worker, and brings the
baby to day care during the day. She
recently returned to work after her
maternity leave. Parents are married and
have no other children.
FH: NEG
PE: Easily consolable 6 wk old held in mom’s
arms.VS: HR 140, RR 40, Temp 98.6F
HEENT: PERRL, fundoscopic exam difficult to
be confident no paplidema
Fontanel flat, small scalp hematoma to left
parietal area. TM normal, no fluid from ears
or nose. No raccoon eyes, no other scalp
abnormalities.
Neck: Baby moves head in all directions, no
pain or tenderness to cervical spine.
Heart/Lungs: Normal
Abd: Soft, normal and non-tender
Ext: Good pulses, normal exam
Neuro: Good eye contact, moves all 4
extremities normally, interactive with toys,
normal reflexes, normal sensation. Just
starting to hold head independently for a
few seconds.
1. What are the indications for CT scanning
in infants?
2. What is a rough estimate for the motor
development of an infant?
3. Should this be reported to child
protective services?
Click here for answers and to respond
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Previous Articles
Gastrointestinal (07/08/08)
Pediatric (07/01/08)
Medical (06/26/08)
Pulmonary (06/19/08)
Trauma (06/12/08)
Neurologic (05/26/08)
Medical (05/19/08)
Neurologic (05/12/08)
Cardiovascular (05/05/08)
Renal (04/30/08)
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Pediatric (02/11/08)
Trauma (02/06/08)
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Neurologic (01/014/08)
Cardiovascular (01/07/08)
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Renal (12/26/07)
Cardiovascular (12/19/07)
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Neurologic (12/05/07)
Trauma (11/27/07)
Trauma (11/20/07)
Neurologic (11/13/07)
Pediatric (11/12/07)
Cardiovascular (10/29/07)
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