What are common findings in a child with Shaken Baby Syndrome?

A child with Shaken Baby Syndrome, also known as abusive head trauma, commonly presents with specific and concerning findings that are indicative of the trauma they have experienced. Bulging fontanelles can be a result of increased intracranial pressure due to brain swelling, which is a frequent consequence of violent shaking that can cause brain injury. Retinal hemorrhages are particularly notable in cases of Shaken Baby Syndrome; they occur due to the rapid acceleration and deceleration of the brain within the skull, leading to tearing of the fragile blood vessels in the retina.

Both bulging fontanelles and retinal hemorrhages serve as critical clinical signs that alert healthcare providers to the potential for abusive head trauma in infants and young children. These findings prompt further investigation and a careful assessment of the child’s history and environment to ensure their safety and well-being.

In contrast, the other options do not typically correlate with Shaken Baby Syndrome. Diarrhea and dehydration are more associated with gastrointestinal issues rather than traumatic brain injuries. Sudden weight loss and lethargy may indicate a variety of health issues but are not specific to Shaken Baby Syndrome. Jaundice and hypotonia are also symptoms that may arise from other medical conditions but do not directly indicate abusive head trauma