SAQ 865 – Paediatrics – infant altered mental state and suspected non-accidental injury

Marked out of 15.00

A 3-month-old infant is brought to ED by his father. The father says the infant has been sleepy all day and has not been feeding. The infant has had a cough and fever recently.

The infant is pale, quiet and unresponsive, with faint bruising on both cheeks. CT brain images are provided.

Observation Value
RR 14/min, poor effort
SpO2 84% on room air
HR 50 bpm
BP 95/50 mmHg
Temp 34.8 deg C
CT brain images for an unresponsive infant, first set.
CT brain images, first set.
CT brain images for an unresponsive infant, second set.
CT brain images, second set.

List your immediate management steps.

(Marked out of 6.0)


/ 6

List the significant CT brain findings.

(Marked out of 4.0)


/ 4

List the services you would involve urgently.

(Marked out of 2.0)


/ 2

Outline your approach to discussing your concerns with the mother.

(Marked out of 3.0)


/ 3

Total Score: 0 / 15

Percentage: 0%