This week we will be looking at investigation of bleeding and bruising in the paediatric setting with three short cases.
An 8 week old baby boy born at 40+2 by Normal vaginal delivery presents with a reduced consciousness level, bulging fontanelle and respiratory distress. He is transferred to NICU and a CT confirms a subdural haemorrhage.
You are contacted as the Haematology registrar on call and asked for advice on investigation of this presentation.
What history would you take?
What investigations would you recommend the paediatric team undertake?
What is the differential diagnosis for the bleed in this case?