Infants with subconjunctival hemorrhage should be examined thoroughly for other signs of trauma. However, severe coughing in infants, as in pertussis, may present with subconjunctival hemorrhages. Coughing is a common cause in adults and can rarely cause this in infants. Petechiae on the face and around the eyes may or may not accompany subconjunctival hemorrhages from strangulation or suffocation. The hemorrhage is actually a result of injury to the capillaries in the conjunctival membrane (trapping blood in the subconjunctival area). Vessels and nerves go through it from the conjunctiva and episclera, and it is covered by the conjunctiva. The sclera is an opaque white membrane extending from the edges of the cornea to the optic nerve with no vascularization. Some people use the term "scleral hemorrhage," a misnomer. The differential diagnosis is direct trauma, valsava, strangulation, suffocation, birth trauma (resolves by a few weeks), hypertension, or coagulopathy. It is rare to see subconjunctival hemorrhages in infants from anything other than trauma. This finding is suspicious for attempted strangulation.It is caused by ruptured blood vessels in the sclera.Which of the following is a true statement regarding this finding? He awakened the next day with this finding. He was fine when he went to bed no URI symptoms, no cough, no vomiting, and no fevers. The mother of a 3-month-old baby is concerned because she noticed that the baby has red eyes. You may also use text links at the bottom of the page. Javascript used for visual effects only as image links rollovers. Rubbing too hard can cause minor trauma to your eyes, which may lead to a subconjunctival hemorrhage.Child Abuse Cases Test Your Knowledge :: CHAMP Program :: :: If you need to rub your eyes, rub them gently. If the bleeding on the surface of your eye has a clearly identifiable cause, such as a bleeding disorder or blood-thinning medication, ask your doctor if you can take any steps to reduce the risk of a subconjunctival hemorrhage. If your condition is due to trauma, your doctor may evaluate your eye to ensure you don't have other eye complications or injury. Health complications from a subconjunctival hemorrhage are rare.
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