Question

6 day-old child is brought in by parents with 1 day of reduced oral intake and 4 hours of rapid breathing. The child has no fever and no significant birth history. The child is tachycardic, hypotensive, and hypoxic. What’s the diagnosis? 

Answer

• Multiple rib fractures, bilateral clavicle fracture, and hemothorax.
• This child was ultimately diagnosed with osteogenesis imperfect, but child abuse should be quite high on your differential.

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