The differential diagnosis of nonaccidental injury is broad and varies based on the child’s presenting signs and symptoms. Screening for dermatologic, hematologic, or infectious diseases that may mimic presentations of abusive burns or bruises may be required. The greater challenge for the front-line provider may be in differentiating accidental or birth injury from nonaccidental injury. Table 1 summarizes some medical conditions that may be in the differential diagnosis of nonaccidental injuries.
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