RT Book, Section A1 Lueder, Gregg T. SR Print(0) ID 56150690 T1 Chapter 20. Retinal Hemorrhage T2 Pediatric Practice: Ophthalmology YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 9780071633802 LK accesspediatrics.mhmedical.com/content.aspx?aid=56150690 RD 2024/04/16 AB Table Graphic Jump Location|Download (.pdf)|PrintThe ProblemRetinal hemorrhageCommon CausesNormal birthChild abuseOther CausesMajor trauma Systemic diseaseGlutaric aciduria type 1Bleeding disorderSepsisHypertensionNeoplasmKEY FINDINGSHistoryNormal birthMore common after vaginal deliveryFrequent (even after uncomplicated delivery)Child abuseHistory often not reliableFindings not consistent with given historyMajor traumaRetinal hemorrhages uncommonSystemic diseaseHistory corresponding to underlying disorderExaminationNormal birthRange from few scattered to diffuse hemorrhages Child abuseWidely variable, from no to massive retinal hemorrhageRetinoschisis cavity almost pathognomonic for shaking injuryMajor traumaUsually only mild hemorrhage, even with severe injurySevere crush injuries very rarely cause retinoschisisSystemic diseasesVaries with underlying disorder