رضيع عمره ٤ أشهر جاء نعساناً ويتقيأ، وعنده نزيف في شبكية العين ونزيف تحت الجافية بدون تاريخ سقوط واضح. ما الذي يجب أن يُفكر فيه الفريق؟

A 4-month-old presents drowsy and vomiting, with retinal haemorrhages and a subdural haematoma, without a clear history of a fall. What must the team consider?

1. Vitamin D and calcium deficiency
2. Ordinary viral gastroenteritis
3. Abusive head trauma (shaken baby)
4. Allergy to formula milk protein

Answer: C) Abusive head trauma (shaken baby). Retinal and subdural haemorrhages in an infant without clear trauma strongly suggest shaking injury. Findings are documented carefully and reported under child-protection rules, alongside urgent treatment.