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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Broken Ribs

My daughter is three months old, and has been in and out of he hospital for almost a month and a half now, first the doctors said she had the rhino virus, then she started having seizures a few days later, then an mri was done and they found bleeding in the back of her brain. all CT scans prior to this were normal and blood work was normal too. About a week later a skeletal survey was done and the doctors said she had two broken ribs. I was shocked to hear this and she was taken into cps care. she was in the hospital for two and a half weeks before they found the broken ribs, and now three weeks have passed and she just had a shunt put in this morning because of fluid building up in her brain. I dont know what is going on, or what could be causing this, they say she was tested negitive for shaken baby syndrome and there are no other signs of trauma. My baby has never been mistreated or abused, do you have any idea what could be going on?
Thu, 15 Sep 2016
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Pediatrician 's  Response
OK, your baby got into stress because of flu like disease which was the rhinovirus , then started to have seizures right after she developed intracranial hemorrhage, and because of the that the small ducts that connect the fluid in the brain was obstructed and fluid build up ( hydrocephalus ) and they have to put a shunt .
one of the inborn error of metabolism can cause this and this disorder is triggered by stress (like the flu ) and causes intracranial hemorrhage which usually is mistaken as child abuse , which is called glutamic acid Urea type 2 , a rare disease but can explain all these symptoms , and there is available test for it .
but it doesn't explain the broken ribs , unless the child develops cardiac arrest and in trying to save the baby ribs broke .
doctors will keep abuse in their minds because it explains all of the above symptoms , but it's a very sensitive, legal and diagnosed by exclusion.
I hope she becomes better soon
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Suggest Treatment For Broken Ribs

OK, your baby got into stress because of flu like disease which was the rhinovirus , then started to have seizures right after she developed intracranial hemorrhage, and because of the that the small ducts that connect the fluid in the brain was obstructed and fluid build up ( hydrocephalus ) and they have to put a shunt . one of the inborn error of metabolism can cause this and this disorder is triggered by stress (like the flu ) and causes intracranial hemorrhage which usually is mistaken as child abuse , which is called glutamic acid Urea type 2 , a rare disease but can explain all these symptoms , and there is available test for it . but it doesn t explain the broken ribs , unless the child develops cardiac arrest and in trying to save the baby ribs broke . doctors will keep abuse in their minds because it explains all of the above symptoms , but it s a very sensitive, legal and diagnosed by exclusion. I hope she becomes better soon