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Fifteen-minute consultation: Bruising in the premobile child
  1. Fiona Wallace1,
  2. Julie-Ann Collins1,
  3. Nishanthi Talawila Da Camara2,
  4. Alison Mary Kemp3,
  5. Ingrid Prosser4,
  6. Stephen Mullen1
  1. 1 Paediatric Emergency Department, Royal Belfast Hospital for Sick Children, Belfast, Belfast, UK
  2. 2 Department of Research and Quality Improvement, RCPCH, London, UK
  3. 3 Division of Population Medicine, Department of Child Health, Cardiff, UK
  4. 4 Department of Child Health, Cardiff University School of Medicine, Cardiff, UK
  1. Correspondence to Dr Stephen Mullen, Paediatric Emergency Department, Royal Belfast Hospital for Sick Children, Belfast BT12 6BA, UK; smullen001{at}


A bruise in a premobile infant is an uncommon finding and often results in referral to the paediatric or emergency departments, acknowledging the potential for physical abuse in this vulnerable cohort. Our role as clinicians is to undertake a thorough assessment, consider potential differentials and organise appropriate investigations, with involvement of the wider multidisciplinary team. In this article, we use a case vignette to discuss how one would approach a bruise in the premobile infant including the evidence base.

  • child abuse
  • social work

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  • Contributors The article concept was planned by authors SM, J-AC and IP. All authors cowrote the article and developed the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.