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Images in paediatrics
‘Ping-pong skull’ after a fall from bed
  1. Felicity J Taylor1,2,
  2. Rosanne Verow1,
  3. Benjamin Jacobs2,
  4. Ronelle Naidoo1
  1. 1 Department of Paediatrics, Northwick Park Hospital, Harrow, UK
  2. 2 Department of Paediatrics, Royal National Orthopaedic Hospital, Stanmore, UK
  1. Correspondence to Dr Felicity J Taylor, Northwick Park Hospital, Harrow, UK; felicity.taylor1{at}nhs.net

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A 9-month-old boy of South Asian origin presented to the emergency department with a head injury after falling out of his parents’ bed onto a carpeted floor. On examination, he had a 2 cm×2 cm smooth concavity in the right parietal region. He was playful, with an otherwise normal examination. The skull bones did not appear soft or brittle when pressed. There was nothing in the presentation that warranted a safeguarding investigation.

He had recently completed 12 weeks of treatment for presumed latent …

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