Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
In Reply: Dr Lavin points out that the practicing
physician faces the dilemma that effective "screening tests" to rule out head
trauma have not been tested. More research is needed to give physicians the
tools they need to make an accurate assessment of nonspecific symptoms such
as vomiting and irritability in preverbal children.
We agree with Drs Becker and Gupta that ophthalmologic findings in cases
of abusive head trauma are common and often dramatic. More frequent use of
ophthalmologic consultation most likely would lead to more accurate diagnosis.
Jenny C, Hymel KP. Recognizing Abusive Head Trauma in Children—Reply. JAMA. 1999;282(15):1421-1422. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-15-jac90009