Young infants, less than six months old are subject to child maltreatment and have rates of physical and abusive trauma twice the rate of children one to three years in age (Harper, et.al., 2014). Abuse symptoms most often seen in non-mobile infants are bruising, burns, fractures and traumatic brain injuries. Infants have a wide variety of developmental ability and mobility, but in general they are not mobile enough to sustain fractures, or get into things in their environment that would cause the injuries that they may present with. Often with infant abuse, mother’s or parents bring their infants to be evaluated for difficult temperaments or excessive crying. The provider may notice bruising, and when assessing and questioning the parent may give inconsistent stories on how or when the bruising appeared. Bruising in any pre-mobile infant is a red flag for abuse with high suspicion for more serious internal injuries (Harper, et.al., 2014). Injuries of this nature should always lead to further investigation. On imaging studies, fractures may be seen on the skull, in long bones of legs and arms as well as hands and feet. Multiple fractures of varying stages of healing almost always are attributed to infant abuse. Fractures in the absence of trauma confirms the likelihood of physical abuse and the incidence is higher the younger the child (Paddock, Sprigg,