This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on ISI (1)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: The article by Dr Jenny and colleagues¹ raises a critical question: how can practicing physicians improve their ability to recognize inflicted head trauma in young children? Unfortunately, their study does not provide enough information to solve the practitioner's constant question: what is the predictive value of the symptom or sign at hand? Jenny et al address the question of if a child has an inflicted head trauma, then what is the chance the child will have facial bruising, nonspecific vomiting, fever, or irritability? In fact, these probabilities reported in their article were high enough to be of interest.

However, the practitioner needs to know if a child has facial bruising, nonspecific vomiting, fever, or irritability, then what is the chance the child has sustained inflicted head trauma? The data presented by Jenny et al in no way answer this critical question. For instance, if a child has . . . [Full Text of this Article]

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Cost-effectiveness of Head Computed Tomography in Infants With Possible Inflicted Traumatic Brain Injury
Campbell et al.
Pediatrics 2007;120:295-304.
ABSTRACT | FULL TEXT