(1) Retinal hemorrhages plus (2) subdural hematomas suggest child abuse. The software agrees that “non-accidental trauma” is the most likely diagnosis, but offers a differential diagnosis, as indicated by the blue shading.
Based on the evolving differential diagnosis, the software prompts you to comment on other important clinical and test findings, such as macrocephaly and a bleeding tendency to refine the differential diagnosis and avoid premature closure.
With the new findings, the differential diagnosis suggests a metabolic disease, (which is typically caught on newborn screening if performed), and prompts you for the most useful tests.
