A 1-Month-Old, Full-Term Boy Is Brought to the Emergency Department

A 1-month-old, full-term boy is brought to the emergency department by his mother due to difficulty awakening him.  The mother says that the infant was left alone for a few minutes this morning and rolled off a bed.  Since then, he has been sleepy and less active than usual.  Physical examination shows a lethargic boy with a large, full anterior fontanelle.  Bilateral retinal hemorrhages are seen on funduscopic examination.  Which of the following should be strongly suspected in this patient?

A) Abusive head trauma
B) Bacterial meningitis
C) Idiopathic thrombocytopenic purpura
D) Neonatal vitamin K deficiency
E) Retinoblastoma
F) Unintentional head injury

Correct Answer:

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