clinicians should have a low index for suspicion when evaluating young infants with clinical symptoms that may be suggestive of head injury Clinically occult AHT is common (as high as 30%) among neurologically asymptomatic infants presenting with noncranial abusive injuries such as multiple fractures or facial bruising Thus, evaluation for occult AHT may be indicated in children with suspected abusive injuries depending on the child’s age and presenting injuries ( Table 87.4 )