BULGING OR SWOLLEN FONTANELLES (SOFT SPOT)

Bulging or Swollen Fontanelles (Soft Spot)

Several things can cause bulging or swollen fontanelles:

http://www.brainandspine.org.uk/information/publications/brain_and_spine_booklets/meningitis
_and_encephalitis/what_are_the.html

Meningitis and Encephalitis
A guide for patients and carers

What are the symptoms?

Meningitis

The first signs of meningitis may be quite general and may simply consist of:

• headache
• high temperature
• tiredness
• irritability

There may also be gastrointestinal symptoms (vomiting or diarrhoea) or respiratory symptoms (sore throat, common cold).

These more specific symptoms and signs may become more obvious as time passes:

• severe headache
• bright light will be uncomfortable (photophobia)
• neck stiffness (nuchal rigidity)
• confusion
• drowsiness
• a third of people with bacterial meningitis may have one or more fits.

If meningitis is moderate to severe, the neck cannot be bent forward fully so that the chin touches the chest.

Photophobia and neck stiffness may not occur in very young or old people or those with a weakened immune system.

The following are important signs in babies and young children:

• a high pitched cry
• breathing problems
• cuddling increases their irritability rather than soothes
• the fontanelles become tense or swollen due to increased pressure inside the head
• the neck and back may arch or bend backwards.

It is not possible to reliably tell the difference between viral meningitis and bacterial meningitis by a doctor’s examination alone, although viral meningitis is usually less severe. However, 55 to 70 per cent of people with meningococcal meningitis have a typical rash, which:

• appears as small red/purple spots between one and two millimetres in diameter or as large purple/black bruises.
• is usually found on or around the armpits, groin, ankles and underwear and sock lines.
• does not blanche, or go pale, when pressed upon.

A simple test is to press a glass against the rash. If the red/purple spots do not disappear then a diagnosis of meningococcal meningitis is likely.

If the doctor finds:

• a reduced level of consciousness or coma
• swelling of the nerve at the back of the eye (papilloedema) - seen using an
ophthalmoscope)
Increased pressure in the head is the likely cause.

If there are:

• focal signs (e.g. weakness or numbness down one side)
• speech problems (e.g. getting words jumbled up)
this shows possible damage to the brain itself and strongly suggests that there
is a brain abscess or that a stroke has occurred. Under these circumstances a brain scan should always be done before the spinal fluid is examined. If lumbar puncture is done to extract spinal fluid in someone with a brain abscess, their condition may very rapidly get worse.

Encephalitis

The early signs of encephalitis are:

• headache
• fever
• a general feeling of being unwell

These symptoms develop over hours or a day or two. The initial symptoms may simply suggest ’flu or a similar viral infection. The headache becomes severe and can be linked with:

• vomiting
• altered awareness (e.g. drowsiness or confusion)
• changes in memory or personality
• epileptic fits
• mild to moderate neck stiffness.

1. Herpes simplex encephalitis (HSE)

Herpes simplex encephalitis is the main cause of serious encephalitis in adults. Although this virus is the cause of common cold sores, there is no established link with the appearance of cold sores on the face and the development of encephalitis in the brain.

HSE affects the temporal lobes of the brain. This is the area that controls memory and speech. There may also be weakness down one side of the body. Some patients may go into a coma or suffer increased pressure inside the skull as a result of severe infection and fits.

2. Encephalitis linked with childhood viruses

Most of these viruses affect everyone at some time in their life, and yet encephalitis is rare. The reasons for this are not completely understood. Encephalitis linked to childhood viral illnesses is usually mild and may show as:

• increasing unsteadiness while walking
• clumsiness when using the hands,in addition to headache, fever and a general feeling of being unwell.

The following signs may help in making a diagnosis:

• a rash caused by the virus which shows a typical spread and pattern
• swollen parotid salivary glands (mumps)
• widespread increase in the size of the lymph glands in neck and groin
(glandular fever).

Encephalitis has been linked to most if not all vaccines.

http://www.shirleys-wellness-cafe.com/shakenbabysyndrome.htm
Many of the classic benchmarks of abuse can also result from vaccination. Retinal
hemorrhages can be caused not only by shaking, but also by vaccines and by attempts
at cardiopulmonary resuscitation in children, which may be applied to non-responsive
children who suffer breathing distress caused by vaccines. A bulging fontanelle has been
documented as being directly caused by the DPT vaccine.

Thrombocytopenia, a blood clotting disorder characterized by easy bruising
and bleeding and which may result in brain and other hemorrhages, is also a
recognized side-effect of vaccines. Add to this the well-documented common occurrence of seizures following vaccines—which can cause injurious falls in young mobile children (and which may go unobserved by parents), and the possibility that vaccine damage may be mistaken for physical abuse becomes quite tenable.

http://www.ccandh.com/decisions/camerlin.pdf
The National Vaccine Injury Compensation Program comprises Part 2 ...
Title II of the Health Information, Health Promotion, and Vaccine Injury ......
and soft fontanelle.

By the time he went to the ER that same day, ...http://tinyurl.com/3xvrre

http://www.aapsonline.org/judicial/yurko1.pdf
The Baby Alan Case

http://www.bmj.com/cgi/eletters/328/7442/720
BMJ: Rapid Responses to:

EDITORIALS:
Brian Harding, R Anthony Risdon, and Henry F Krous
Shaken baby syndrome
BMJ 2004; 328: 720-721 [Full text]

Rapid Responses published:

[Read Rapid Response] Pathological diagnosis based on the triad, but where is the scientifc evidence to back it up?
Heather J Lohr (29 March 2004)

[Read Rapid Response] SBS Articles - Quality Research or Dogma?
Tracy L. Emblem (29 March 2004)

[Read Rapid Response] Changes of Season
L. Travis Haws (30 March 2004)

[Read Rapid Response] The SBS Myth
Michael D Innis (4 April 2004)

[Read Rapid Response] Logic and Biomechanics in Shaken Baby Syndrome diagnosis
Robert D Murdoch (27 October 2004)

Pathological diagnosis based on the triad, but where is the scientifc evidence to back it up? 29 March 2004

Heather J Lohr,
parent
16652

Re: Pathological diagnosis based on the triad, but where is the scientifc evidence to back it up?

First I want to thank the BMJ for not only making its content free to all (for the time being) but for allowing us the opportunity to voice our opinions.

In response to the Harding, Risdon and Krous piece concerning the disgnosis of shaken baby syndrome I am much concerned that they cannot see the "whole picture."

"The basic triad should have all the necessary features for confident diagnosis and the conclusion that undue force has been applied."

By citing opinion pieces and reports which would clearly fall in the time frame of Mark Donahoe's recent review of the literature, it is clear that they refuse to admit the basis of their conclusions is weak and getting weaker everyday.

Even in the light of the revelation that retinal findings that were previously attributed to violent shaking are not necessarily caused by such they continue to spout the "typical" war cry of the "classic" shaking baby syndrome victim.

The parallels drawn in conclusions of the study by the Wake Forest University team and of Mark Donahoe on the available literature should be enough to make any medical servant take pause. The recent reports by Geddes et al, Plunkett and even Duhaime (I did note the lack of inclusion of her lastest report published in 2003) lead the reader to agree that indeed we don't know what is happening. Can you truly claim that an unwitnessed accidental fall is sbs in light of the findings of the past several years? We have seen the proof that falls can generate sdh and rh and glocal brain swelling.

We have evidence that hypoxic injuries can also cause similar bleeding in infants who have not suffered trauma. Clearly the evidence is indicating that there may indeed be a likelihood that trauma may not be a factor in infantile subdural hemorrhage and that the retinal findings may most likely be related to the intercranial pathology, not a sign of rotational acceleration/deceleration.

I just read a report "Frequency and natural history of subdural haemorrhages in babies and relation to obstetric factors" that showed a shocking number of infants with asymtomatic sdh following the birth process. Some have used this report to try to dispel birth injury claiming that since the sdh in these nine infants resolved by four weeks then ALL sdh seen after four weeks cannot be attributed to birth injury. I read the report and saw nine very fortunate infants with diagnosis made which clearly affect their everyday handling and care.

Continuing to say that rotational/deceleration causes these findings without having the evidence to back it up is not going to make this an accurate diagnosis. In light of the recent evidence it has become clear that nonviolent etiology may be indicated and certainly needs to be investigated.

Competing interests: None declared
SBS Articles - Quality Research or Dogma? 29 March 2004
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Tracy L. Emblem,
Attorney
205 W. 5th Ave., Suite 105, Escondido, CA 92025

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Re: SBS Articles - Quality Research or Dogma?

I am a research attorney who represents a man who was falsely accused of murder in 1983. I have been researching shaken baby and fatal head injury articles for the past four years. I feel I must respond to the Harding, Risdon, Krous editorial that stands for the proposition that Shaken Baby Syndrome is a valid scientific medical diagnosis and cites to Case ME, Graham, MA, Handy TC, Jentzen JM, Monteleone JA, Position paper on fatal abusive head injuries in infants and young children. (Am J Forensic Med Pathol 2001:22: 12-122.)

Harding, et al. do NOT disclose that the Case, et al. position paper did NOT pass peer review. According to the AJFMP Editor's note on page 1056: "The manuscript was reviewed by three reviewers on the Board of Editors of the American Journal of Forensic Medicine and Pathology. They believed that while it was worthy of publication, it should not be published as a position paper because of the controversial nature of the subject." The NAME (National Association of Medical Examiners) Board nonetheless voted to publish the paper. Was there a conflict of interest?

While the Am J Forens Med Pathol does not have a written conflict-of- interest statement, the American Journal of Forensic Science, a similar publication although with a broader audience, does. According to the American Journal of Forensic Science website, (adapted from the International Committee of Medical Journal Editors Statement on Conflict of Interest): "A conflict of interest for a given manuscript exists when a participant in the peer-review and publication process--author, reviewer, or editor--has ties to activities that could inappropriately influence his/her judgment, whether or not judgment is in fact affected....Public trust in the peer-review process and the credibility of published work depend in part on how well conflict of interest is handled during writing, peer review, and editorial decision making. Bias can often be identified and eliminated by careful attention to the scientific methods and conclusions of the work."

At least two of the "paper" authors, Case and Graham, were on the NAME Board of Directors at the time the paper was published in the journal despite being rejected through peer review. Coincidentally, all of the paper's authors except Case are members of the Helfer Society. (See www.helfersociety.org/Members.htm) Dr. Krous is also currently listed as a "Helfer" member, as are many of the SBS proponent authors, such as Drs. Alexander, Chadwick, Christian, Dias, Feldman, Hymel, Jenny, Kleinman, and Levin. The U.K’s Sir Roy Meadow is also an honorary lifetime Helfer member.

Many of the Helfer members speak at the various National Center on Shaken Baby conferences and other SBS oriented conferences. In advocating the existence and science of the syndrome, they routinely cite to another Helfer’s article. Is there a competing interest here?

The time has come to critically evaluate the biomechanics of head injury in children instead of blindly adopting articles written by the child protection oriented physicians. The medical, scientific and legal communities must closely examine whether there is a competing interest and whether these articles involve qualitative research and studies.

Tracy Emblem, Esq.

Competing interests: None declared
Changes of Season 30 March 2004
L. Travis Haws,
Dentist
DFC 12860 West Cedar Drive Lakewood, CO 80228

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Re: Changes of Season

According to Harding, Risdon and Krous, the "triad" is defined, in their opening statement as, "acute encephalopathy with subdural and retinal haemorrhages, occurring in a context of inappropriate or inconsistent history and commonly accompanied by other apparently inflicted injuries." This definition of the triad is loaded with inconsistencies. All that one needs to do is review the literature.

First of all, Caffey's original work, that is frequently cited as the keystone of the SBS theory...yes, it is still a theory, is full of inconsistencies. Caffey first proposes that the trio of symptoms/signs is subdural hemorrhage (SDH), retinal hemorrhage (RH) and fractures of the long bones or ribs. Then the trio of signs changes to SDH, RH and no external signs of abuse. (1,2) Then in 1974, the triad is bilateral SDH, bilateral RH no external signs of abuse and evidence of periosteal traction of the long bones. (3) Caffey does mention that instances of picking an infant up by an arm or leg, “swinging” or tossing the infant through the air, during play, by the extremeties (a common mode of play for parents/care takers-emphasis mine) can cause the bone lesions or “traumatic involucra”. Infants shoulders have been known to dislocate from picking them up by an arm, so to assume that it requires violent shaking or slamming...to stretch the periosteum is beyond reason.

Of interest, in 1974, Caffey's paper includes the description of necropsies on Baby's "H" and "K". Baby H had “skin normal, thymus large microscopic focal hemorrhages in the myocardium: pinkish cellular exudates in the pulmonary alveoli: small subcapsular laceration of the liver filled with fresh blood, liver capsule intact.” Caffey seems to neglect the information pointing to a differential diagnosis* and focuses only on the brain and eye hemorrhages. Does he suppose the bleeding in the myocardium (heart) and pinkish cellular exudates in the alveoli (lung infection?) are irrelevant? It would be far fetched to attribute the myocardial hemorrhages to acceleration/deceleration, let alone the cellular exudates in the alveoli. Perhaps Krous and Harding can tell us how this fits into the "triad"?

Baby K, as described by Caffey, basically had bleeding in the brain and spinal cord. Baby K’s eyes were not examined. There was no evidence of fractures. However, Baby K had “several small foci of atelectasis in the lungs” with signs of generalized cyanosis. “Infant turned grayish and died 2 hours after admission.” Why was there no consideration of the lung findings, possible pneumonia or obstruction to explain the atelectasis and generalized cyanosis (a sign of severe apnea or hypoxia)? Again, it seems rather important differential diagnosis information was neglected and the focus was solely on bleeding in the brain. The recent work by Geddes et al. accounts for the brain hemorrhages in light of severe hypoxia... Also, this infant only had clear evidence of one sign of the triad (SDH), but shaking was still assumed to be the diagnosis.

The experimental evidence Caffey was greatly lacking came from Ommaya, and Ommaya in 2002, states that Caffey misinterpreted his results and their applicability to his theory. (9)

In 1984, a study by Ludwig and Warman add that “the physical findings of tense or bulging fontanelle, head circumference greater than 90th percentile for age, and retinal hemorrhage strengthen the diagnosis”. (4) Ludwig and Wartman seem to be saying that a CT scan with bleeding in or upon the brain is the sole criteria for diagnosis, but that retinal hemorrhages and a swollen brain (bulging fontanelle) help strengthen the diagnosis. Thus, SDH = SBS, but hydrocephalus (bulging fontanelle and head circumference greater than 90th percentile) and RH help confirm the diagnosis. They state this without any consideration to the meaning of a head circumference greater than the 90th percentile and all of its implications to other differential diagnosis. They do not discuss long bone or rib lesions/fractures.

Then in 1987, Duhaime et al. perform a biomechanical study that concludes shaking cannot generate enough force to meet the injury threshold to cause subdural hemorrhage and traumatic axonal injury. (5) Hence, the derivation of shaken baby/impact syndrome. To continually assume shaking has anything to do with the actual injury is difficult to comprehend. It’s like saying that if you jump up and down 9 times (shaking), and on the 10th jump you land on someone’s foot (impact) which results in you breaking your ankle; that the 9 prior jumps played a role in the ankle fracture. Had the other persons foot not come into play, numerous more jumps could have occurred without injury. The injury occurred at the moment when another’s foot was landed on, and had nothing to do with prior, non-injury producing, stresses. The ankle fracture would have likely occurred had the person landed on someone else’s foot on the first jump.

Then in 1989, Zimmerman and Bruce follow this study up by stating that shaking alone cannot cause such injuries. They also state that “with pure shaking impact injury, evidence of other trauma is rarely found”. (6) Not according to Duhaime and the current letter by Krous and Harding who state extracranial signs of trauma are common. Which is it? If the proponents of SBS cannot even keep it straight, how is anyone else supposed to? Zimmerman and Bruce were not the only ones to say the other evidence of trauma is rarely found, just as Duhaime and Krous...are not the only ones to say it is commonly found.

Then, in 2003, a study by Prange et al. concludes that “there are no data showing that the maximum change in angular velocity and peak angular acceleration of the head experienced during shaking and inflicted impact against unencased foam is sufficient to cause SDHs or primary TAIs in an infant”. (7) This REPEATS the earlier data that shaking alone cannot cause subdural hemorrhage or traumatic axonal injury (this would seem to be supported by the hypoxic injury found by Geddes that the axonal injury is not trauma related). In addition, to result in SDH, it seems to require a hard impacting surface. So, why do many alleged SBS cases lack evidence of impact (the differential diagnoses is a completely different paper)? Wouldn't an impact from a multi-story fall or high speed car crash (that's what the "experts" tell us causes SDH or RH...that or shaking) leave significant signs of impact?

To conclude, as you can see, the SBS "triad" changes with the seasons...the seasons of data. The child abuse "experts" clothe the "triad" depending upon the weather/season. How does Harding and Krous propose the incongruent history given by caretakers be confirmed? That all caretakers of children with a SDH get a polygraph? Maybe the SBS docs should be interrogators instead of physicians? Who's story wouldn't change after ten interrogations, threats, promises of leniency if you confess... Furthermore, I speculate that many investigators routinely change statements around? We know the "experts" won't accept any history beyond a multi-story fall or high speed MVA to account for SDH or RH despite all the evidence to the contrary...(i.e. Lantz's 14 month old television tragedy, Geddes work, Plunkett's eye witnessed "trivial" falls, Duhaime's shaking work...and that is just the tip of the iceberg). I would assume that Harding, Risdon and Kraus added trauma to the neck and spinal cord as a result of the work by Geddes et al, and Ommaya et al. (8,9) Yet, both SDH and RH also occur during birth pretty frequently and now we see them with a television toppling over onto one's head.

To further conclude, This is why I propose a new mechanism or feature for the, what is now known as, shaken baby/shaken impact syndrome. I propose that hitherto and henceforth, the syndrome be called shaken/slammed/SQUASHED baby syndrome. Squashing coming from the biomechanics of birth, TV compressing one's head... Call it squeezed, compressed, squished...whatever you like. That's it folks SBS is now characterized as first shaking, then slamming and if that doesn't work, then the head is squeezed between two hands like it's in a vice. Don't you see it, it's clear, definable, pathognomonic and beyond a reasonable doubt or medical certainty??? But then again, the world might actually be flat afterall, too?

L. Travis Haws

1)Caffey J. On the Theory and Practice of Shaking Infants. American Journal of Diseases in Childhood 1972; 124:161-9.

2)Caffey J. The parent-infant traumatic stress syndrome: (Caffey-Kempe Syndrome), (Battered Babe Syndrome). Amer J Radiol 1972; 114:218-29.

3)Caffey J. The whiplash shaken infant syndrome: manual shaking by the extremities with whiplash-induced intracranial and intraocular bleedings, linked with residual permanent brain damage and mental retardation. Pediat 1974; 54:396-403.

4)Ludwig S, Warman M, Shaken Baby Syndrome: A Review of 20 Cases. Annals of Emergency Medicine Feb. 1984; 104-7.

5)Duhaime A. et al., The Shaken baby syndrome. A clinical, pathological, and biomechanical study. J Neurosurg 1987; 66:409-415.

6)Bruce DA, Zimmerman RA. Shaken impact syndrome. Pediatric Annals 1989; 18:482-494.

7)Prange M. et al. Anthropomorphic simulations of falls, shakes, and inflicted impacts in infants. Journal of Neurosurgery 2003 99: 143-150.

8)Geddes J. F. et al., Dural haemorrhage in non-traumatic infant deaths: does it explain the bleeding in ‘shaken baby syndrome’? Neuropathology and Applied Neurobiology 2003; 29; 14-22.

9)Ommaya A., Goldsmith W., Thibault L., Biomechanics and neuropathology of adult and paediatric head injury. British Journal of Neurosurgery 2002 16(3): 220-242.

*In medicine, differential diagnosis (sometimes abbreviated DDx or ??) is the systematic method physicians use to identify the disease causing a patient's symptoms.

Before a medical condition can be treated, it must be identified. The physician begins by observing the patient's symptoms, examining the patient, and taking the patient's personal and family history. Then the physician lists the most likely causes. The physician asks questions and performs tests to eliminate possibilities until he or she is satisfied that the single most likely cause has been identified.

Once a working diagnosis is reached, the physician prescribes a therapy. If the patient's condition does not improve, the diagnosis must be reassessed.

The method of differential diagnosis was first suggested for use in the diagnosis of mental disorders by Emil Kraepelin. It is more systematic than the old-fashioned method of diagnosis by gestalt (impression).

The term differential diagnosis also refers to medical information specially organized to aid in diagnosis, particularly a list of the most common causes of a given symptom, annotated with advice on how to narrow down the list. For example, this differential diagnosis of sclerotic bone lesions lists nine common causes, including infection, trauma, and drugs.

[edit] Example of a DDx

The patient presents with symptoms A and B. The physician creates a list of diseases that include symptoms A and B. There are three diseases that feature both symptoms:

* Disease 1: A, B, C
* Disease 2: A, B, C, D
* Disease 3: A, B, E

The physician can test for the presence of symptom C. This would either support 1 and 2 or support 3. If the client tested positive for C, a test for D could be used to differentiate between disease 1 and 2. If the client tested negative for C, a test for E would confirm the diagnosis of disease 3.

In modern medicine, physicians typically decide to perform tests based on weighing the likelihood of a positive result against the severity of the disease if it were to remain undiagnosed. For example, if an 18-year-old with no personal or family history of heart disease complains of chest pain, the physician is much less likely to be concerned that a heart attack occurred than if the patient were 65 years old.

While it is rarely used explicitly in clinical practice, Bayes Rule provides a statistically rigorous way to use such background "conditioning" information efficiently. For example : using age, family history, past history, risk factors like smoking, obesity, etc to generate the relative likelihoods (or conditional probabilities) of various conditions. Such formal approaches tend to be used more in medical expert systems.

Competing interests: Know The Falsely Accused
The SBS Myth 4 April 2004
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Michael D Innis,
Director Medisets International
Home 4575

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Re: The SBS Myth

Editor,

Regarding the question of the Shaken Baby Syndrome (SBS) Drs Harding, Risdon and Krous state, “a need exists for an impartial and intelligent assessment, but how may this be achieved in practice?”

I suggest that since the role of vaccines in SBS has been questioned [1,2,3,4,5] the history should start with the question, “when was the child last vaccinated?”

Of the 20 reports I have on the subject:

9 were vaccinated between 0 – 21 days prior to the onset of their signs and symptoms. Apnoea, Subdural and Retinal haemorrhage, Cutaneous bruising and “fractures”.

8 had documented evidence of abnormal Haematological or Liver Function Tests (LFTs) and Nutritional defects.

3 were incompletely documented.

This is proof that the administration of vaccines is one cause, repeat one cause, of the so-called Shaken Baby Syndrome since it demonstrates that SBS was confined to the period LESS THAN 21 DAYS AFTER THE VACCINE WAS ADMINISTERED (the period in which hypersensitivity reactions are expected to occur).

With the enormous number of persons accused, and for that matter imprisoned, it should not be an impossible task for those believing in the existence of SBS to negate this deduction by presenting documented evidence of the condition occurring AFTER the 21 day post vaccine period, having excluded haemorrhagic, liver and nutritional disorders.

The Medical Profession should be looking for evidence of deficiency of Vitamin C induced by Immunization [5] and for Immune Complexes and other tell-tale signs of Hypersensitivity to Vaccines.

It is time to change the name from ‘Shaken Baby Syndrome’ to ‘Adverse Vaccine Reaction’ in those cases in which the condition follows the administration of a vaccine within 21 days

Iatrogenic Misadventure would be another label worth considering for the vaccine induced cases. The haematological and nutritional cases should be appropriately designated. Vitamin K Deficiency Bleeding (VKDB) or Barlow’s Disease would probably cover most of them.

Finally, the safety of vaccines can be assured by doing what Kalokerinos did in the Australian Outback - administer Vitamin C before immunizing the infant and ensure the adequacy of Vitamin K..

Reference:

1.Kalokerinos A Every Second Child. With a Foreword by Linus Pauling. Keats Publishing. Inc New Canaan, Connecticut. 1981.

2.Goodwin J Was It Murder Or A Bad Vaccine. Redbook Magazine September 2000:158-175 Statement of Amici Curiae in support of Alan Yurko.

3.Scheibner V. Shaken Baby Syndrome. The Vaccination Link. Nexus Aug- Sep (31)1993

4.Clemetson CAB. Vaccinations, Inoculations and Ascorbic Acid. The Journal of Orthomolecular Medicine 1999 vol 14 p 137 – 142

5.Clemetson CAB Shaken Baby Syndrome or Scurvy.

Competing interests: I have given evidence for the accused
Logic and Biomechanics in Shaken Baby Syndrome diagnosis 27 October 2004
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Robert D Murdoch,
physician
Murdoch Family Physicians, P.A., 4632 Vincennes Blvd. #104, Cape Coral, FL 33914 USA

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Re: Logic and Biomechanics in Shaken Baby Syndrome diagnosis

Whilst Drs. Brian Harding, R Anthony Risdon, and Henry F Krous were correct in stating that other signs should be observed in Dx of SBS, they kept returning to the "triad" as the core of the diagnosis. Each component of said triad has many possible causes. How can such a diagnosis be made based upon said triad except through dogma?

The Geddes et al. study does show pictures of non-traumatic, massive SDH, it refers to macroscopic SDH's. It does state that several of the 50 non- traumatic cases studies had RH's. No human can inflict the G-forces by shaking, that is exerted on a passenger in a 40mph+ motor vehicle collision. In such an instance, adults and children whose heads do not impact the inside of the car generally have cervical injury. They just don't present with SDH, RH and DAI, unless they have head impact.

I am interested to know why given the questionable critera currently used for SBS Dx, none of the cases using those criteria have been witnessed, and why they are in children only under 12 months as stated by Harding et al.. What changes when a child is over 12 months old? Do perpetrators suddenly choose not to shake one year olds?

Robert Murdoch AP

Competing interests: None declared

http://www.nvic.org/Diseases/whooping.htm

http://www.taap.info/Man45_63.pdf

Infant Immunization
Data & Services About Children
In California & the Bay Area.
www.kidsdata.org
Misdiagnosed Shaken Baby Syndrome: A Criminal Consequence of ...
A Criminal Consequence of Vaccine Injury: Misdiagnosed Shaken Baby Syndrome. Devastating consequences that can befall a family when infants who suffer the ...

www.shirleys-wellness-cafe.com/vaccines_phillips_criminal2.htm
Shaken Baby Syndrome or Vaccine-Induced Encephalitis?
A Criminal Consequence of Vaccine Injury: Misdiagnosed Shaken Baby Syndrome ..... A bulging fontanelle has been documented as being directly caused by the ...

www.shirleys-wellness-cafe.com/shakenbabysyndrome.htm

The National Vaccine Injury Compensation Program comprises Part 2 ...

Title II of the Health Information, Health Promotion, and Vaccine Injury ...... and soft fontanelle. By the time he went to the ER that same day, ...
www.ccandh.com/decisions/camerlin.pdf
Neonatal tetanus
However, field trials of pneumococcal vaccine and studies of antibiotic treatment .... with flexed arms and legs), and swollen fontanelle in infants [5,40]. ...

www.unu.edu/Unupress/food2/UIN08E/uin08e0s.htm
Shaken Baby/Impact Syndrome: Flawed Concepts and Misdiagnoses,
Vaccine Reactions Mimicking the Diagnostic Criteria of Shaken Baby Syndrome: .... was swollen bleeding gums, but this is never seen in edentulous infants. ...

www.woodmed.com/Shaken%20Baby%20Web%202002.htm
ALAN R. YURKO v. Case No.: CR 98-1730 STATE OF FLORIDA /

Gross TP, Milstein JB, Kuritsky JN, Bulging fontanelle after .... Title 42, 300 (aa) of the National Vaccine Injury Compensation Act mandates physicians ...
www.aapsonline.org/judicial/yurko1.pdf
bmj.com Rapid Responses for Harding et al., 328 (7442) 720-721
I have been researching shaken baby and fatal head injury articles for the past .... and a swollen brain (bulging fontanelle) help strengthen the diagnosis. ...
bmj.bmjjournals.com/cgi/eletters/328/7442/720
Radiology In Ped Emerg Med, Vol 2, Case 17
This infant was born full-term with a birth weight of 3.4 kg. Immunizations are up to date (hepatitis B vaccine X2). No allergies are noted. ...
www.hawaii.edu/medicine/pediatrics/pemxray/v2c17.html
Whooping Cough: The Disease & The Vaccines
NATIONAL VACCINE INJURY COMPENSATION PROGRAM ..... with or without convulsions, manifested by bulging fontanel, changes in the level of consciousness, ...
www.nvic.org/Diseases/whooping.htm
Analysis of causes that led to Baby Lucas Alejandro Mullenax ... as required by the National Childhood Vaccine Injury Act of ... of 94, blood pressure of 94/62 Hg, bulging anterior fontanel, ...
www.taap.info/Man45_63.pdf
Childrens Medical Group - First Time Parents
Beneath the skin of the fontanelle lie three very strong, leathery layers ... Swollen breasts This is very common in both male and female infants due to ...
www.childrensmedgroup.com/parents/first_time.htm
Whooping Cough, the DPT Vaccine, and Reducing Vaccine Reactions
The fatality rate is highest in infants under six months of age. ..... is greater than the risk of injury or death which can be caused by the vaccine. ...
vaccinationnews.com/DailyNews/December2001/WhoopDPT&ReduceReact.htm
Problems of the neonate and young infant... brain injury and will do poorly. The prognosis is less grim for babies who have .... young infants with an open. fontanelle. Normal fontanelle ...
www.who.int/child-adolescent-health/New_Publications/CHILD_HEALTH/PB/05.PBchap3.pdf
Al-Bayati Summary of 4 "SBS" Cases
They have also been reported in full-term infants. For example, in the USA, reports to the Vaccine Adverse Event Reporting System (VAERS), concerning infant ...
www.freeyurko.bizland.com/albayatisum.html
Pediatric Advisor
Sleep Position for Young Infants *. Sleep Problems: Resource List ... Swollen Lymph Nodes Brief Version *. Tailbone Injury. Tall Height: Resource List ...
https://www.relayhealth.com/rh/specific/hospitals/contactCenterMgt/advisorSeries/examples/PAtopics.pdf
CMA BABY BOOK
The "posterior fontanel" represents a smaller soft spot at the back of the head. ... Mild to moderately swollen baby breasts are normal. ...
www.cmanva.com/babbk4.htm
baby care
Engorged breasts are swollen with mild and by an increase in the blood supply. ... You may note this fontanel moving as your baby breathes. you need not ...
child-careonline.blogspot.com/feeds/posts/default
C:\Documents and Settings\green\Local Settings\Temp\c.lotus.notes
reddened and swollen. Hannah’s fontanel was soft and flat. ...... the injury, but also that the vaccine was a substantial factor in bringing about her ...
www.neurodiversity.com/court/legal_bruesewitz_vs_hhs.pdf
severe reaction to DTP vaccine ?? ??? ?? ??? ... small fontanelle ?? ??, ??? small for date newborn infant ??? ??? ...
www.koreapediatrics.com/endic/endic_s.htm
CONGRESSIONAL TESTIMONY
"In the case of (4) any vaccine on the Vaccine Injury Table, regardless of ..... persistent unconsolable crying, and bulging fontanel are compatible with an ...
attorneyaccess.net/2001Testimony.htm
Febrile convulsions - fits caused by an elevated body temperature. Fontanelle - a space covered by tough membranes between the bones of an infant’s cranium. ...
www.healthcarea2z.org/pageRedir.aspx/350/
Health Talk on Must for Mums
The affected joints become swollen and painful. They are hot to touch. ... The anterior fontanelle (the soft spot on the head) is widely open. ...
www.mustformums.com/healthtalk/illnesses/pqr.php3

Health Talk on Must for Mums
MMR vaccine (against measles, mumps and rubella or German measles) is now .... A small infant may have a bulging anterior fontanelle (the soft spot on the ...
www.mustformums.com/healthtalk/illnesses/ghijkl.php
[ More results from www.mustformums.com ]
INFECTION
Later may show local signs e.g. full tense fontanelle, squint, ... Also immunise the infant with hepatitis vaccine 0.5 ml IM at 1 week, 1 and 2 months. ...
web.uct.ac.za/depts/ich/teaching/undergrad/6th_year/nnh/nnh_cp18.htm
Mohammed Ali Al-Bayati, PhD, DABT, DABVT

baby Alan are not limited to preterm infants. They have also been reported in full-term infants. For example, in the USA,. reports to the Vaccine Adverse ...
www.taap.info/Man117_129.pdf
THE MOLERA
In some pets several joints may be swollen. Pets that are prone to tick exposure should ... In the Chihuahua this spot, or fontanel, is known as a MOLERA; ...
www.diamondchihuahuas.com/health.htm
Hyde Park Pediatrics : Health Topic Sheets
... fluids given to premature infants; Ibuprofen, dosages for injury (s) ... Lymph node: illustration of lymph nodes and vessels: swollen (s, b) ...
https://www.hydeparkpedi.com/health_topic_sheets.html
Baby Robert Quirello's Case Analysis
Half the infants also received Haemophilus influenzae type b conjugate vaccine (Hib) simultaneously [16]. All infants were monitored for apnea and ...
www.gigglesandfrog.com/Baby_Robert_Quirello's_Case_Analysis.html
Caring for Your Baby
The fontanel- or "soft spot" is found on the top front part of the skull. ... Notify the baby's doctor if a swollen breast develops signs of infection such ...

Caring for yo u and yo u ri n f a n t
File Format: PDF/Adobe Acrobat - View as HTML
increases, your breasts may become very tender and/or swollen. ...... you decide the best time for your baby to receive this vaccine. ...
www.womenandinfants.com/documents/caringinfant.pdf

Febrile convulsions - fits caused by an elevated body temperature. Fontanelle - a space covered by tough membranes between the bones of an infant’s cranium. ...
www.healthcarea2z.org/pageRedir.aspx/350/

Hyde Park Pediatrics : Health Topic Sheets
... fluids given to premature infants; Ibuprofen, dosages for injury (s) ... Lymph node: illustration of lymph nodes and vessels: swollen (s, b) ...
https://www.hydeparkpedi.com/health_topic_sheets.html - 190k - Cached - Similar pages
Baby Robert Quirello's Case Analysis
Half the infants also received Haemophilus influenzae type b conjugate vaccine (Hib) simultaneously [16]. All infants were monitored for apnea and ...
www.gigglesandfrog.com/Baby_Robert_Quirello's_Case_Analysis.html - 357k - Cached - Similar pages
Caring for Your Baby
The fontanel- or "soft spot" is found on the top front part of the skull. ... Notify the baby's doctor if a swollen breast develops signs of infection such ...
tamc.org/Service+List/Primary+Care/Women+and+Childrens+Health/Caring+for+Your+Baby.htm - 112k - Cached - Similar pages
[PDF]
Caring for yo u and yo u ri n f a n t
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increases, your breasts may become very tender and/or swollen. ...... you decide the best time for your baby to receive this vaccine. ...
www.womenandinfants.com/documents/caringinfant.pdf - Similar pages

Preferences
Web Results 31 - 40 of about 566 for swollen fontanelle+vaccine injury+infants. (0.06 seconds)
childalert - first for child safety and wellbeing
Swollen glands may result. It lasts about 2-3 days and does not usually cause any serious ... bulging of the fontanelle (the soft spot on top of the head) ...
www.childalert.co.uk/illness.asp - 85k - Cached - Similar pages
[PDF]
Microsoft PowerPoint - Meningitis Teleclass Slides - Nov.9.04
File Format: PDF/Adobe Acrobat - View as HTML
Presenting complaint: R hand painful and swollen, hand painful for 4 hrs, .... Babies: tense fontanelle. Meningococcal disease – ask about ...
www.webbertraining.com/files/library/docs/40.pdf - Similar pages
[PDF]
The court encourages the parties to review Vaccine Rule 18, which ...
File Format: PDF/Adobe Acrobat - View as HTML
can bring an action for vaccine injury-related claims (so long as the ... and unusual screaming, persistent inconsolable crying, and bulging fontanelle. ...
www.uscfc.uscourts.gov/Unpublished%20Decisions/Sweeney.Lowrie.pdf - Similar pages
Healthwise Handbook - Chapter 11
Roseola. Fine pink rash; starts on face and covers whole body; swollen glands behind ears ..... Sunken soft spot (fontanelle) on an infant's head. ...
www.permanente.net/homepage/handbook/healthwisehandbook/ch_11/ch_11.htm - 96k - Cached - Similar pages
Holden NICU - University of Michigan C.S. Mott Children's Hospital
Floppy infant syndrome Folic acid Follow-up clinic Fontanelle ...... The National Vaccine Injury Compensation Program makes payments for persons thought to ...
www.med.umich.edu/nicu/aboutbaby/glossary.shtml - 298k - Cached - Similar pages
2001 EMT
5.16, Identify common lethal mechanisms of injury in infants and children. .... Skin turgor; Sunken or flat fontanelle in an infant; Presence of tears and ...
www.nhtsa.dot.gov/people/injury/ems/ems2001/IntRefresher.html - 358k - Cached - Similar pages
Patient Education Index
Lip, swollen. Long-term illness, psychological effects of ..... Testing an infant's self-quieting skills. Tetanus booster after injury (s) ...
rockinghamchildrensclinic.com/pateduindex.html - 120k - Cached - Similar pages
healthyNJ--Information for Healthy Living--Encephalitis
Important signs of encephalitis to watch for in an infant include vomiting, ... and a full or bulging fontanel (the soft spot on the top of the head). ...
www.healthynj.org/dis-con/enceph/main.htm - 39k - Cached - Similar pages
healthyNJ--Information for Healthy Living--Meningitis
Fortunately, the Haemophilus influenzae b vaccine has greatly reduced the number .... and a full or bulging fontanel (the soft spot on the top of the head). ...
www.healthynj.org/dis-con/mening/main.htm - 38k - Cached - Similar pages
King Edward Medical University
Flu shots: The flu (influenza) vaccine is recommended for persons at high risk for serious ... The medical term fontanel is a "soft spot" of the skull. ...
www.kemc.edu/dictionery_f.html - 98k - Cached - Similar pages

Web Results 31 - 40 of about 566 for swollen fontanelle+vaccine injury+infants. (0.06 seconds)
childalert - first for child safety and wellbeing
Swollen glands may result. It lasts about 2-3 days and does not usually cause any serious ... bulging of the fontanelle (the soft spot on top of the head) ...
www.childalert.co.uk/illness.asp - 85k - Cached - Similar pages
[PDF]
Microsoft PowerPoint - Meningitis Teleclass Slides - Nov.9.04
File Format: PDF/Adobe Acrobat - View as HTML
Presenting complaint: R hand painful and swollen, hand painful for 4 hrs, .... Babies: tense fontanelle. Meningococcal disease – ask about ...
www.webbertraining.com/files/library/docs/40.pdf - Similar pages
[PDF]
The court encourages the parties to review Vaccine Rule 18, which ...
File Format: PDF/Adobe Acrobat - View as HTML
can bring an action for vaccine injury-related claims (so long as the ... and unusual screaming, persistent inconsolable crying, and bulging fontanelle. ...
www.uscfc.uscourts.gov/Unpublished%20Decisions/Sweeney.Lowrie.pdf - Similar pages
Healthwise Handbook - Chapter 11
Roseola. Fine pink rash; starts on face and covers whole body; swollen glands behind ears ..... Sunken soft spot (fontanelle) on an infant's head. ...
www.permanente.net/homepage/handbook/healthwisehandbook/ch_11/ch_11.htm - 96k - Cached - Similar pages
Holden NICU - University of Michigan C.S. Mott Children's Hospital
Floppy infant syndrome Folic acid Follow-up clinic Fontanelle ...... The National Vaccine Injury Compensation Program makes payments for persons thought to ...
www.med.umich.edu/nicu/aboutbaby/glossary.shtml - 298k - Cached - Similar pages
2001 EMT
5.16, Identify common lethal mechanisms of injury in infants and children. .... Skin turgor; Sunken or flat fontanelle in an infant; Presence of tears and ...
www.nhtsa.dot.gov/people/injury/ems/ems2001/IntRefresher.html - 358k - Cached - Similar pages
Patient Education Index
Lip, swollen. Long-term illness, psychological effects of ..... Testing an infant's self-quieting skills. Tetanus booster after injury (s) ...
rockinghamchildrensclinic.com/pateduindex.html - 120k - Cached - Similar pages
healthyNJ--Information for Healthy Living--Encephalitis
Important signs of encephalitis to watch for in an infant include vomiting, ... and a full or bulging fontanel (the soft spot on the top of the head). ...
www.healthynj.org/dis-con/enceph/main.htm - 39k - Cached - Similar pages
healthyNJ--Information for Healthy Living--Meningitis
Fortunately, the Haemophilus influenzae b vaccine has greatly reduced the number .... and a full or bulging fontanel (the soft spot on the top of the head). ...
www.healthynj.org/dis-con/mening/main.htm - 38k - Cached - Similar pages
King Edward Medical University
Flu shots: The flu (influenza) vaccine is recommended for persons at high risk for serious ... The medical term fontanel is a "soft spot" of the skull. ...
www.kemc.edu/dictionery_f.html - 98k - Cached - Similar pages

Web Results 41 - 50 of about 566 for swollen fontanelle+vaccine injury+infants. (0.11 seconds)
[PDF]
CARING FOR YOU and YOUR NEW BABY
File Format: PDF/Adobe Acrobat - View as HTML
Following Measles, Mumps and Rubella vaccine, there may be swelling, soreness and redness. where the needle was given. Some children develop a rash, swollen ...
www.rcdhu.com/health-info/child%20health/caring.PDF - Similar pages
[PDF]
Look after yourself - Pandemic Planning - Vancouver Coastal Health
File Format: PDF/Adobe Acrobat
Get the pandemic influenza vaccine, when it is available. ..... Full fontanelle (swollen soft spot). Possible cause:. Influenza with. complications. ...
www.vch.ca/pandemic/docs/Look_after_yourself.pdf - Similar pages
Portia - Helen's Trial
In his view deep brain injury was the key to this case....the baby would show ..... fontanelle due to brain swelling as a direct reaction to DPT vaccine. ...
www.portia.org/chapter01/trial.html - 61k - Cached - Similar pages
[PDF]
Early Postpartum Care of the Mother and Infant and Transition to ...
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weight loss and examination of the anterior fontanelle, skin turgor, and skin. perfusion. ..... indicated, hepatitis B vaccine/immune globulin, Coombs test ...
www.phac-aspc.gc.ca/dca-dea/publications/pdf/fcmc06_e.pdf - Similar pages
| | Resident & Staff Physician
Physical examination shows the lateral aspect of the ankle is swollen, with ecchymosis ... He has a sunken fontanelle and the mucous membranes are dry. ...
www.residentandstaff.com/issues/articles/2004-05_02.asp - 58k - Cached - Similar pages
Free Mendez - Related Articles
Microscopic brain injury in infants. Brain 2001;124:1299-1306. ...... Bulging fontanel after immunization with diphtheria-tetanus-pertussis vaccine and ...
www.freemendez.org/dispute.html - 189k - Cached - Similar pages
Endnotes - Spontaneous Creation: 101 Reasons Not to Have Your Baby ...
Murray Enkin, et al. write: "The risk of injury to the infant is directly ...... In humans one of these (called the anterior fontanelle) is not a little gap ...
www.spontaneouscreation.org/SC/Endnotes.htm - Similar pages
Meningococcal Infection: Patient guide
A bulging fontanelle sometimes develops. The is the 'soft spot' on the baby's head. ... A different vaccine may be used for travellers going to Group A ...
www.privatehealth.co.uk/diseases/infections/meningococcal-infection - 69k - Cached - Similar pages
SBSStoryBranch
The medical examiner noted that Alexa had a swollen, movable lymph node in ...... Lawyer Webb filed a claim with the National Vaccine Injury Compensation ...
www.gigglesandfrog.com/FalseAccuseBranch.html - 185k - Cached - Similar pages
[DOC]
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS INTRODUCTION World ...
File Format: Microsoft Word - View as HTML
Engorgement: a condition in which a mother's breasts are swollen, hard and painful because ... Fontanelle: the soft spot on top of a young infant's head, ...
www.who.int/child-adolescent-health/New_Publications/IMCI/IMCI_in_service/Module01-Introduction.doc - Similar pages

Web Results 1 - 10 of about 792 for bulging fontanelle+vaccine injury+infants. (0.13 seconds)
Misdiagnosed Shaken Baby Syndrome: A Criminal Consequence of ...
Part 2 of 2: A Criminal Consequence of Vaccine Injury: Misdiagnosed Shaken ... A bulging fontanelle has been documented as being directly caused by the DPT ...
www.shirleys-wellness-cafe.com/vaccines_phillips_criminal2.htm - 146k - Cached - Similar pages
Shaken Baby Syndrome or Vaccine-Induced Encephalitis?
A Criminal Consequence of Vaccine Injury: Misdiagnosed Shaken Baby Syndrome ..... A bulging fontanelle has been documented as being directly caused by the ...
www.shirleys-wellness-cafe.com/shakenbabysyndrome.htm - 152k - Cached - Similar pages
NEXUS: Shaken Babies or Vaccine Damage?
Bulging fontanelle due to brain swelling was described by Jacob and Mannino .... the risks of vaccine injury are outweighed by the benefits from vaccines, ...
www.nexusmagazine.com/articles/shakenbaby1.html - 32k - Cached - Similar pages
Shaken Baby Syndrome or Vaccine-Induced Encephalitis?
Misdiagnosing a vaccine injury as the SBS has resulted in imprisonments. ..... Bulging fontanelle after immunization with diphtheria-pertussis-tetanus ...
www.jpands.org/hacienda/buttram.html - 43k - Cached - Similar pages
Shaken Baby Syndrome: The Vaccination Link
Bulging fontanelle due to brain swelling was described by Jacob and Mannino .... oats and milk/dairy product casein, caused by vaccine injury to the bowel. ...
www.prisonplanet.com/articles/july2007/120707_a_baby.htm - 63k - Cached - Similar pages
Shaken Baby Syndrome Defense
Bulging fontanelle after immunization with DTP vaccine and DT vaccine. .... National Vaccine Injury Compensation Program Vaccine Injury Table, ...
www.sbsdefense.com/Vaccinebib.htm - 43k - Cached - Similar pages
Shaken baby syndrome or vaccine-induced encephalitis?
Gross TP et al., Bulging fontanelle after immunization with ..... New Pertussis vaccine safer for infants. (Tripedia acellular whooping cough vaccine) ...
www.encyclopedia.com/doc/1G1-109946532.html - 153k - Cached - Similar pages
SBS or Vaccine-Induced Encephalomyelitis?
vaccine and diphtheria-tetanus vaccine, J Pediatr, 114(3):423-425. 74 Mathur R Kumari S. (June, 1981) Bulging fontanel following DPT, Indian Pediatr, ...
www.freeyurko.bizland.com/storyofbabyalan.html - 92k - Cached - Similar pages
Vaccination Time Line
The bulging fontanel was accidentally noted by the child’s parents who ... Senator Paul Hawkins (R-FL) introduced the National Child Vaccine Injury Act ...
www.co-brass.com/vaccinations_time_line.htm - 211k - Cached - Similar pages
High Pitched Screaming after Vaccines
From the Vaccine Injury Compensation Program in the late 80's: ... and unusual screaming, persistent inconsolable crying, and bulging fontanelle. ...
www.babyzone.com/Community/Posts.asp?tpc=8348610&brd=455 - 64k - Cached - Similar pages

Web Results 11 - 20 of about 792 for bulging fontanelle+vaccine injury+infants. (0.06 seconds)
Shaken Baby Syndrom
Bulging fontanelle after immunization with diphtheria-tetanus-pertussis vaccine and diphtheria-tetanus vaccine. J Pediatr, Mar 1989;1 14(3):423-425. ...
www.gunner-oedum.suite.dk/alan.html - 68k - Cached - Similar pages
[PDF]
ALAN R. YURKO v. Case No.: CR 98-1730 STATE OF FLORIDA /
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Gross TP, Milstein JB, Kuritsky JN, Bulging fontanelle after .... Title 42, 300 (aa) of the National Vaccine Injury Compensation Act mandates physicians ...
www.aapsonline.org/judicial/yurko1.pdf - Similar pages
THE VACCINE REACTION
... collapse/shock, bulging fontanelle or seizures within 72 hours of a DPT ... o continuing to place newborn babies at increased risk of vaccine injury and ...
https://www.909shot.com/History/Newsletters/nlr395.htm - 77k - Cached - Similar pages
Shaken Baby/Impact Syndrome: Flawed Concepts and Misdiagnoses,
Gross TP et al, Bulging fontanel after immunization with diphtheria-tetanus-pertussis vaccine and diphtheria-tetanus vaccine, J Pediatr, March, 1989; ...
www.woodmed.com/Shaken%20Baby%20Web%202002.htm - 126k - Cached - Similar pages
bmj.com Rapid Responses for Harding et al., 328 (7442) 720-721
Thus, SDH = SBS, but hydrocephalus (bulging fontanelle and head .... name from ‘Shaken Baby Syndrome’ to ‘Adverse Vaccine Reaction’ in those cases in which ...
bmj.bmjjournals.com/cgi/eletters/328/7442/720 - Similar pages
K.N.O.W. Vaccines - Frequently Asked Questions About Vaccines
Excessive sleepiness (infant cannot be aroused); Convulsions; Encephalopathy: Bulging fontanel, sudden eye crossing, inability to move arm or leg, ...
www.know-vaccines.org/faq.html - 59k - Cached - Similar pages
JSTOR: Injection Sites Utilized for DPT Immunizations in Infants
Sciatic nerve injury in infants. Journal of the American Medical ... Bulging fontanelle after immunization with diphtheria-tetanus-pertussis vaccine and ...
links.jstor.org/sici?sici=0737-0016(1992)9%3A2%3C87%3AISUFDI%3E2.0.CO%3B2-R - Similar pages
Dtp (Diphtheria and Tetanus Toxoids and Pertussis Vaccine Adsorbed ...
Bulging fontanel following DTP vaccine. Indian Pediatr 23 (11): 960, 1986 ... Diphtheria-Tetanus-Pertussis immunization and sudden infant death syndrome. ...
www.rxlist.com/cgi/generic/dtp_ids.htm - 71k - Cached - Similar pages
[PPT]
Fever in Infants and Children: Sepsis, Meningitis, and Occult ...
File Format: Microsoft Powerpoint - View as HTML
Meningitis should always be considered—up to 10% appear well, only 15% have a bulging fontanelle, and 10-15% have nuchal rigidity. ...
www.ch.missouri.edu/Education/Fever%20in%20Infants%20and%20Children.ppt - Similar pages
[PDF]
Reflections on “Shaken Baby Syndrome”: A Case Report
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On this day, nurses made repeated notes of a bulging fontanelle, ..... with hepatitis B vaccine—as has sudden infant death. Correlation, ...
www.jpands.org/vol10no2/orient.pdf - Similar pages PDF]
Injection Sites Utilized for PDT Immunizations in Infants.
File Format: PDF/Adobe Acrobat
Sciatic nerve injury in infants. Journal of the American Medical Association,. 173, 1336. Drehobl, P. (1980). ... Bulging fontanelle after immunization with ...
www.leaonline.com/doi/pdf/10.1207/s15327655jchn0902_3 - Similar pages
[PDF]
Analysis of causes that led to Baby Lucas Alejandro Mullenax ...
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as required by the National Childhood Vaccine Injury Act of ... of 94, blood pressure of 94/62 Hg, bulging anterior fontanel, ...
www.taap.info/Man45_63.pdf - Similar pages
Virtual Hospital: P & T News
The National Childhood Vaccine Injury Act imposes special reporting .... persistent inconsolable crying, and bulging fontanel are compatible with an ...
www.healthcare.uiowa.edu/pharmacy/PTNews/1994/10.94.html - 21k - Cached - Similar pages
VACCINE RISK AWARENESS NETWORK -"SBS IS IT CHILD ABUSE--OR ...
Brain swelling causes a bulging fontanelle, as revealed by Jacob and Mannino .... injury in infants by manual shaking alone, but that impact is required. ...
www.vran.org/vaccines/sbs/sbs-pearce.htm - 64k - Cached - Similar pages
Haemophilus Influenzae Infections
in infants, symptoms are difficult to pinpoint and may include: ... inconsolable crying; bulging fontanelle (or soft spot); behavior changes ...
www.healthsystem.virginia.edu/uvahealth/peds_infectious/hii.cfm - 21k - Cached - Similar pages
[PDF]
Problems of the neonate and young infant
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brain injury and will do poorly. The prognosis is less grim for babies who have .... young infants. with an open. fontanelle. Normal fontanelle. Bulging ...
www.who.int/child-adolescent-health/New_Publications/CHILD_HEALTH/PB/05.PBchap3.pdf - Similar pages
[PDF]
The National Vaccine Injury Compensation Program comprises Part 2 ...
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Title II of the Health Information, Health Promotion, and Vaccine Injury ...... and soft fontanelle. By the time he went to the ER that same day, ...
www.ccandh.com/decisions/camerlin.pdf - Similar pages
Whooping Cough: The Disease & The Vaccines
NATIONAL VACCINE INJURY COMPENSATION PROGRAM ..... with or without convulsions, manifested by bulging fontanel, changes in the level of consciousness, ...
www.nvic.org/Diseases/whooping.htm - 104k - Cached - Similar pages
Vaccination Liberation Information
Brain swelling causes a bulging fontanelle, as revealed by Jacob and Mannino [4] in a .... when properly diagnosed, could have been vaccine injury. ...
www.vaclib.org/basic/childabuse.htm - 55k - Cached - Similar pages
[PDF]
In fanrix” Diphtheria and Tetanus Toxoids and Acellular fertussis ...
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Bulging fontanel following DPT vaccine. lndian Padiatr. 1986;231111:960. Centers for Disease Control. National ulildhowi Vaccine Injury Act Requirements for ...
www.fda.gov/OHRMS/DOCKETS/AC/01/briefing/3733b1_02_fda_appendix_4.pdf -

Web Results 31 - 40 of about 792 for bulging fontanelle+vaccine injury+infants. (0.08 seconds)
Infanrix side effects (Diphtheria and Tetanus Toxoids and ...
In these studies, 28749 infants have received Infanrix as a three-dose ..... The National Childhood Vaccine Injury Act requires that the manufacturer and ...
www.rxlist.com/cgi/generic/infanrix_ad.htm - 104k - Cached - Similar pages
Meningitis
Meningitis can occur in infants, children, and adults. Some bacteria and viruses ... inconsolable crying; bulging fontanelle (soft spot on an infant's head) ...
www.healthsystem.virginia.edu/uvahealth/peds_infectious/meningit.cfm - 24k - Cached - Similar pages
REDFLAGSDAILY.COM - RAISING ISSUES, FACING CHALLENGES, EXPLORING IDEAS
For example, in the USA, reports to the Vaccine Adverse Event Reporting System (VAERS), concerning infant immunization against pertussis between January 1, ...
www.redflagsweekly.com/conferences/shaken_baby/aug22_Al_Bayati.html - 56k - Cached - Similar pages
Al-Bayati Summary of 4 "SBS" Cases
At l0 or 11 days following the vaccine injections, baby Alan developed a ...... On physical examination: there was bulging or full fontanel in ten patients, ...
www.freeyurko.bizland.com/albayatisum.html - 124k - Cached - Similar pages
[PDF]
Health and Health Care for the 21st Century | Reports From the ...
File Format: PDF/Adobe Acrobat
Nervous System Disorders:Bulging fontanelle,convulsions, ... Report the occurrence following immunization of any event set forth in the Vaccine Injury Table ...
www.ajph.org/cgi/issue_pdf/frontmatter_pdf/96/12.pdf - Similar pages
Daptacel Vaccine Prescribing Information
As shown in Table 1, the 2587 infants who enrolled to receive DAPTACEL at 2 ...... Bulging fontanel following DTP vaccine. Indian Pediatr 1986;23(11):960. ...
www.vaccineplace.com/support_files/protect/pertussis/LE4757Daptacel1.htm - 177k - Cached - Similar pages
VACCINE RISK AWARENESS NETWORK -"DPT: Five Vaccines in One: Your ...
Encephalopathy - a brain defect, signs of which include bulging fontanel (a ... increased insulin production in infants injected with pertussis vaccine. ...
www.vran.org/vaccines/dpt/pentacel-dpt.htm - 89k - Cached - Similar pages
For Patients and Families - Children's Hospital Boston
In infants, the symptoms to be aware of are: ... Arching back; Crying when moved; A bulging fontanelle (the soft spot on an infant's head); Seizures ...
www.childrenshospital.org/patientsfamilies/Site1393/printerfriendlypageS1393P201sublevel154Flevel157.html - 38k - Cached - Similar pages
[PDF]
10/13/2003 Section III Page 12 Standards of Care and Pathway ...
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Bulging fontanel is a sign of increased intercranial pressure. .... Newborn immunizations consist of only the Hepatitis B Vaccine #1 dose. Assess if ...
wdh.state.wy.us/familyhealth/nursing/mch/Section%203%20Welcome%20Home/F-Newborn%20Standards.PDF - Similar pages
Meningitis
Irritability; High-pitched cry; Poor feeding; Vomiting; Fever; Seizures; Bulging fontanelle ("soft spot" in the skull) or stiff neck (less common) ...
www.umm.edu/altmed/articles/meningitis-000106.htm

Bacterial Meningitis - For Patients and Families - Children's ...
... Crying when moved; A bulging fontanelle (the soft spot on an infant's head); Seizures ... Is there a vaccine available for bacterial meningitis? ...
www.childrenshospital.org/patientsfamilies/Site1393/mainpageS1393P201sublevel154Flevel157.html

Idaho Observer: State discredits autopsy in Yurko SBS case
And the Yurko infant was not healthy, by any means. ... whereas hospital records note swelling, bulging fontanelle, and visible edemic/macrocephalic ...
www.proliberty.com/observer/20040304.htm

Adverse Events Associated with Childhood Vaccines:
If the adverse event was caused by the vaccine and led to death, .... persistent uncontrollable crying, and bulging fontanel are compatible with an ...
books.nap.edu/openbook.php?record_id=2138&page=274

required by the National Childhood Vaccine Injury Act of 1986 to be given prior to ..... Nervous System Disorders: Bulging fontanelle, convulsions, ...
us.gsk.com/products/assets/us_pediarix.pdf

TauMed - Meningitis
Irritability; High-pitched cry; Poor feeding; Vomiting; Fever; Seizures; Bulging fontanelle ("soft spot" in the skull) and/or stiff neck (less common) ...
www.taumed.com/content/adam/browse.jsp?pid=33&cid=000106

Pasteurella multocida
occurring in a 7-week-old infant which was contracted after non-traumatic contact with a ... down (capillary re®ll time 6 s) and had a bulging fontanelle. ...
www.springerlink.com/index/6JXNGNEQE41F0JXK.pdf

Vaccines and Immunization References and Research Citations
Mathur R, Kumari S, "Bulging fontanel following triple vaccine. ..... Wehrle PF, "Injury associated with the use of vaccines," Clin Ther 1985;7(3):282-284. ...
www.mercola.com/article/vaccines/references.htm
Curtis Webb - Vaccine Injury Law and Compensation
The National Childhood Vaccine Injury Act of 1986 (Vaccine Act) provides an ..... persistent unconsolable crying, and bulging fontanel are compatible with ...
www.curtiswebb.net/cases/whitecotton.dsp

Meningococcal Infection - Patient UK
A bulging fontanelle sometimes develops. The is the 'soft spot' on the baby's head. ... A different vaccine may be used for travellers going to Group A ...
www.patient.co.uk/showdoc/23069083/

Scoop: Pneumococcal vaccine gets green light
PRESS RELEASE Sunday, May 6, 2007 Pneumococcal vaccine gets green light Year-long ... high pitched crying, bulging fontanelle, joint and/or muscle pain, ...
www.scoop.co.nz/stories/GE0705/S00050.htm

Misdiagnosed Shaken Baby Syndrome: A Criminal Consequence of ...
Part 2 of 2: A Criminal Consequence of Vaccine Injury: Misdiagnosed Shaken ... A bulging fontanelle has been documented as being directly caused by the DPT ...
www.shirleys-wellness-cafe.com/vaccines_phillips_criminal2.htm

Shaken Baby Syndrome or Vaccine-Induced Encephalitis?
A Criminal Consequence of Vaccine Injury: Misdiagnosed Shaken Baby Syndrome ..... A bulging fontanelle has been documented as being directly caused by the ...
www.shirleys-wellness-cafe.com/shakenbabysyndrome.htm

NEXUS: Shaken Babies or Vaccine Damage?
Bulging fontanelle due to brain swelling was described by Jacob and Mannino .... the risks of vaccine injury are outweighed by the benefits from vaccines, ...
www.nexusmagazine.com/articles/shakenbaby1.html

Shaken Baby Syndrome or Vaccine-Induced Encephalitis?
Misdiagnosing a vaccine injury as the SBS has resulted in imprisonments. ..... Bulging fontanelle after immunization with diphtheria-pertussis-tetanus ...
www.jpands.org/hacienda/buttram.html

Shaken Baby Syndrome: The Vaccination Link
Bulging fontanelle due to brain swelling was described by Jacob and Mannino .... oats and milk/dairy product casein, caused by vaccine injury to the bowel. ...
www.prisonplanet.com/articles/july2007/120707_a_baby.htm

Bulging fontanelle after immunization with DTP vaccine and DT vaccine. .... National Vaccine Injury Compensation Program Vaccine Injury Table, ...
www.sbsdefense.com/Vaccinebib.htm

Shaken baby syndrome or vaccine-induced encephalitis?
Gross TP et al., Bulging fontanelle after immunization with ..... New Pertussis vaccine safer for infants. (Tripedia acellular whooping cough vaccine) ...
www.encyclopedia.com/doc/1G1-109946532.html

SBS or Vaccine-Induced Encephalomyelitis?
vaccine and diphtheria-tetanus vaccine, J Pediatr, 114(3):423-425. 74 Mathur R Kumari S. (June, 1981) Bulging fontanel following DPT, Indian Pediatr, ...
www.freeyurko.bizland.com/storyofbabyalan.html

Vaccination Time Line
The bulging fontanel was accidentally noted by the child’s parents who ... Senator Paul Hawkins (R-FL) introduced the National Child Vaccine Injury Act ...
www.co-brass.com/vaccinations_time_line.htm

High Pitched Screaming after Vaccines
From the Vaccine Injury Compensation Program in the late 80's: ... and unusual screaming, persistent inconsolable crying, and bulging fontanelle. ...
www.babyzone.com/Community/Posts.asp?tpc=8348610&brd=455 - 64k -

Pediatrics in Review -- 24 (9): 311
This morning, his mother noted that his fontanelle was bulging, and he still had a fever. On examination, the infant’s temperature is 101.8°F (38.4°C), ...
pedsinreview.aappublications.org/cgi/content/full/24/9/311?ck=nck

Mohammed Ali Al-Bayati, PhD, DABT, DABVT
File Format: PDF/Adobe Acrobat
At l0 or 11 days following the vaccine injections, baby Alan ...... examination there was found bulging or full fontanel in ten pa- ...
www.taap.info/Man117_129.pdf

Whooping Cough, the DPT Vaccine, and Reducing Vaccine Reactions
The fatality rate is highest in infants under six months of age. ..... manifested by bulging fontanel, changes in the level of consciousness, ...
vaccinationnews.com/DailyNews/December2001/WhoopDPT&ReduceReact.htm

In infants, forward flexion of the neck may cause involuntary knee and hip flexion .... There is also a vaccine, MenBVac, for the specific strain of type B ...
en.wikipedia.org/wiki/Meningitis

Latest News - Meningitis Trust
Most adults (over age of 20) will not have had a meningitis vaccine. .... high pitched crying, bulging fontanelle, joint and/or muscle pain, ...
www.meningitis-trust.org.nz/latest_news.htm - 24k - Cached - Similar pages
Haemophilus Influenza type b (Hib) - Queensland Health
In infants, symptoms may include fever, loss of appetite, vomiting, lethargy and bulging fontanelle (soft spot on the head). Younger children and infants ...
access.health.qld.gov.au/.../BrainInfectionsandParasites/haemophilusInfluenzaTypeBHib_fs.asp - 47k - Cached - Similar pages
[PDF]
Neonatal vitamin A supplementation: effect on development and ...
File Format: PDF/Adobe Acrobat
Children who had a bulging fontanelle after dosing. Of the 2067 infants enrolled, ...... vaccine compared with vitamin A–supplemented and placebo- ...
www.ajcn.org/cgi/reprint/68/1/109.pdf - Similar pages
[PDF]
The court encourages the parties to review Vaccine Rule 18, which ...
File Format: PDF/Adobe Acrobat - View as HTML
bring an action for vaccine injury-related claims (so long as the requirements of .... screaming, persistent inconsolable crying, and bulging fontanelle. ...
www.uscfc.uscourts.gov/Unpublished%20Decisions/Sweeney.Whiteside.pdf - Similar pages
healthyNJ--Information for Healthy Living--Encephalitis
Important signs of encephalitis to watch for in an infant include vomiting, ... and a full or bulging fontanel (the soft spot on the top of the head). ...
www.healthynj.org/dis-con/enceph/main.htm - 39k - Cached - Similar pages
healthyNJ--Information for Healthy Living--Meningitis
Fortunately, the Haemophilus influenzae b vaccine has greatly reduced the number .... and a full or bulging fontanel (the soft spot on the top of the head). ...
www.healthynj.org/dis-con/mening/main.htm

Web Results 61 - 70 of about 791 for bulging fontanelle+vaccine injury+infants. (0.09 seconds)
Group B Streptococcal Infections -- Gotoff 23 (11): 381 -- NeoReviews
Meningitis occurs in about 10% of infants who have EOD, presenting with seizures, lethargy, coma, and a bulging fontanelle, at times without localizing ...
neoreviews.aappublications.org/cgi/content/full/pedsinreview;23/11/381
Group B Streptococcal Infections
File Format: PDF/Adobe Acrobat
curs in about 10% of infants who have EOD, presenting. with seizures, lethargy, coma, and a bulging fontanelle, at. times without localizing signs. ...
neoreviews.aappublications.org/cgi/reprint/pedsinreview;23/11/381.pdf

cir2004-60. Acute Management of Infants and Children with ... bulging fontanelle or acute increase in head. circumference. ...... Since a vaccine against Hib was. introduced in 1993, the number of cases each ...
www.nets.org.au/PDF/Acute%20Management%20of%20Infants%20and%20Children%20with%20Bacterial%20Meni.pdf

Adverse Events Associated with Childhood Vaccines:
The box in Chapter 10 includes the current Vaccine Injury Table and Aids to Interpretation. ... persistent inconsolable crying, and bulging fontanelle. ...
books.nap.edu/openbook.php?record_id=2138&page=34

eMedicine - Pseudotumor Cerebri: Pediatric Perspective : Article
Gross TP, Milstien JB, Kuritsky JN: Bulging fontanelle after immunization with diphtheria-tetanus-pertussis vaccine and diphtheria-tetanus vaccine. ...
www.emedicine.com/neuro/topic537.htm

Nervous System Disorders:Bulging fontanelle,convulsions, ... from the National Childhood Vaccine Injury Act including:Anaphylaxis or anaphylactic shock ...
www.ajph.org/cgi/issue_pdf/backmatter_pdf/96/11.pdf

Part B: Clinical commentary Steroids in meningitis
File Format: PDF/Adobe Acrobat
peted floor. On examination, the infant is irritable, with a large right. parietal hematoma. The anterior fontanelle is not bulging. The skin is clear. ...
www.pulsus.com/paeds/11_01/Pdf/foxb_ed.pdf

Does your baby have a bulging soft spot (fontanel) on the head when he or she is not ... Do you think that your child's vomiting may be caused by an injury? ...
health.yahoo.com/topic/children/baby/article/healthwise/hw89831

In infants under 6 months of age there has been an increase incidence of transient bulging fontanelle reported in 0.5 to 10 percent of recipients. ...
www.vaclib.org/news/poliovit.htm

Vaccines and Immunization References
Mathur R, Kumari S, "Bulging fontanel following triple vaccine. ... Barry W, Lenney W, Hatcher G, "Bulging fontanelles in infants without meningitis. ...
www.vaccine911.com/vacreference.pdf

Children's Hospital
... bulging fontanelle (soft spot on an infants head); behavior changes ... There is a meningococcal vaccine that is currently only used for high-risk ...
www.childrenscentralcal.org/content.asp?pageid=P02529

Guide to Child Care - Dr. R. K. Anand
Finger tip, injury to, Fits, Flat nipples and breastfeeding, Flat foot, Flu, Fluoride, use of, Foetus, hearing, Folic acid, Fontanelle, bulging, ...
guidetochildcare.org/subject.htm

Chapter 5 2 IMCI Referral Guide
... suggesting possibility of a recent skull fracture; bulging fontanelle. ..... If infants aged 6-9 months receive measles vaccine, it is essential for the ...
www.who.int/child-adolescent-health/publications/referral_care/chap5/chap52.htm

Neuropathology of fatal infant head injury. J Neurotr 2003;20:905. Geddes JF, Whitwell HL. ...... Gross TP et al, Bulging fontanel after immunization with ...
www.freemendez.org/dispute.html

Meningococcal Disease - Queensland Health
... blank and staring expression; bulging fontanelle; difficult to wake, lethargic ... a vaccine that provides protection against the C strain, and ...
access.health.qld.gov.au/hid/InfectionsandParasites/BacterialInfections/meningococcalDisease_fs.asp

In an infant 36 hours of age, jaundice may occur because of normal neonatal hepatic ... increase is more concerning than the size alone; Bulging fontanelle ...
www.peds.umn.edu/student/7-501/answers.html

Children and Infants with Bacterial Meningitis - Acute Management ..... bulging fontanelle or acute increase in head. circumference. However, more useful in ...
www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005_383.pdf

Haemophilus influenzae (group b) - Material Safety Data Sheets (MSDS)
... lethargy, meningeal irritation of bulging fontanelle in infants or stiff neck ... IMMUNIZATION: Conjugate haemophilus vaccine recommended for children ...
www.phac-aspc.gc.ca/msds-ftss/msds73e.html

CONGRESSIONAL TESTIMONY
"In the case of (4) any vaccine on the Vaccine Injury Table, regardless of ..... persistent unconsolable crying, and bulging fontanel are compatible with an ...
attorneyaccess.net/2001Testimony.htm

eMedicine - Meningitis, Bacterial : Article by Ashir Kumar, MBBS ...
Infants and children - The following symptoms are readily recognized as associated with meningitis:. Nuchal rigidity. Opisthotonos. Bulging fontanelle ...
www.emedicine.com/PED/topic198.htm

Dianne Jacobs Thompson Est. 2007
Also http://truthquest2.com (alternative medicine featuring drugless cancer treatments)
Author publication: NEXUS MAGAZINE "Seawater--A Safe Blood Plasma Substitute?"