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Childhood bruising

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All clinicians caring for children will be challenged when faced with a young child covered with bruises. Ruling out leukaemia and idiopathic thrombocytopenia is relatively straight-forward with a blood count and film. Making a judgement about child abuse on the basis of the pattern of bruising is a core skill for every paediatrician; this is sometimes very hard. So can bruising characteristics distinguish abusive from non-abusive injury in young children? Pierce MC et al [JAMA Netw Open 2021;4:e215832. doi:10.1001/jamanetworkopen.2021.5832] have tackled this question and further developed a clinical decision rule. Over the last 20 years there have been …

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