Question 1200
{"accessible":false,"alternatives":[{"id":6012,"text":"CT head"},{"id":6013,"text":"MRI head"},{"id":6014,"text":"MRI head and spine"},{"id":6015,"text":"none"},{"id":6016,"text":"skull x-ray (2 views)"}],"archived":false,"correctAlternativeId":6012,"explanation":"\u003cp\u003eIn children under the age of 1, a skeletal survey should be performed and it should always include a CT head. This is independent of whether the child has neurology or is encephalopathic.\u003c/p\u003e\u003cp\u003eIf performed as a volume sequence, there is no need to perform an additional skull x-ray.\u003c/p\u003e\u003cp\u003eSkull x-rays are performed in children over the age of 1 who have a skeletal survey when a CT is not required.\u003c/p\u003e\u003cp\u003eWhen MRI imaging is performed, initial imaging should always be with an MRI brain and spine. This is required when there is neurology, encephalopathy or an abnormality on a CT.\u003c/p\u003e","id":1200,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1200","nextQuestionPath":"/articles/abusive-head-trauma/questions/1199","relatedArticles":[{"id":10133,"title":"Suspected physical abuse","link":"/articles/suspected-physical-abuse-1?lang=us"}],"alsoUsedIn":[{"id":458,"kind":"Course","title":"Radiology Review Course - Melbourne - page 458","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2019/pages/458"},{"id":458,"kind":"Course","title":"Radiology Review Course - Melbourne - page 458","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2020/pages/458"},{"id":458,"kind":"Course","title":"Radiology Review Course - page 458","link":"https://radiopaedia.org/courses/radiology-review-course-online/pages/458"},{"id":639,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 639","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/639"},{"id":639,"kind":"Course","title":"2020 Virtual Conference Private Use - page 639","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/639"},{"id":639,"kind":"Course","title":"Paediatric Lectures - page 639","link":"https://radiopaedia.org/courses/paediatric-lectures/pages/639"}],"stem":"\u003cp\u003eA 3-month-old child is admitted to the ED with bronchiolitis. During the examination, bruising is noted on the chest wall. Child protection is involved and ask\u0026nbsp;for a skeletal survey. What imaging of the head is required?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1200"}],"attemptsPercentages":[{"alternativeId":"6013","percentage":4},{"alternativeId":"6015","percentage":4},{"alternativeId":"6014","percentage":3},{"alternativeId":"6012","percentage":66},{"alternativeId":"6016","percentage":22}],"promptToLogin":false,"questionManager":false,"articleId":"abusive-head-trauma"}