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Letters
October 20, 1999

Recognizing Abusive Head Trauma in Children—Reply

Author Affiliations
 

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;282(15):1421-1422. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-15-jac90009

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.

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