2-year-old Boy in Pediatrics — 2yo Child | Pediatric Emergency | SMLE Q#689

SMLE Question #689

Pediatrics Pediatric Emergency

Objective: OBJ-OPH-REFERRAL-001

Last updated: February 2026
A 2-year-old boy is brought to the ED after reportedly falling off a bed. He is lethargic and irritable. Head CT shows an acute subdural hematoma. Examination shows multiple ecchymoses over the buttocks and back in different stages of healing and bilateral femoral fractures without a history of high-energy trauma. What is the most likely diagnosis?

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