RT Book, Section A1 Lindberg, Daniel M. A1 Chiesa, Antonia A1 Miller, Angie L. A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181050687 T1 Visceral Findings T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessmedicine.mhmedical.com/content.aspx?aid=1181050687 RD 2024/03/28 AB Intra-abdominal and intrathoracic injuries are identified in a small but important fraction of abused children. These injuries can be deadly and can significantly affect the plausibility of an offered history for other injuries. Clinical signs of abdominal injury (tenderness, bruising, distention, altered bowel sounds) are relatively specific but relatively insensitive. Hepatic transaminases (AST and ALT) can identify abdominal injuries that are missed by clinical examination alone and should be obtained in children 80 IU/L, abdominal CT with intravenous (IV) contrast should be obtained to identify intra-abdominal injury.