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Levin emphasized that children who are returned to their homes without an accurate diagnosis are at high risk of future abuse. Shaking episodes usually last five to 10 seconds and may be repeated several times. Summarized below, these guidelines are helpful for performing dilated fundus exams to help distinguish abusive from accidental injury. Financial disclosure: None. In accidental injury, a dilated fundus exam usually shows no retinal hemorrhages; but if present, they are typically few in number and confined to the posterior pole, rarely extending to the midperiphery. And for both medical and legal purposes, a detailed written description of the retinal findings of the initial dilated eye exam is considered sufficient, he said. Thank you Your feedback has been sent.

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